Organization Active NPI

Neurology Specialists, PC

  • Neurology Physician
  • Bloomington, IN
National Provider Identifier
1194865642
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
010470453 Issued in IN
Legal business name
NEUROLOGY SPECIALISTS, PC
Practice address
813 W 2ND St
Bloomington, IN 47403-2212
Phone
(812) 330-0303
Fax
(812) 330-0404
NPI assigned
Feb 7, 2007
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jamie Carol Bales, M.D.NPI 1407817158
Title
President
Phone
(812) 330-0303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10000690A IN
Neurology Physician 2084N0400X 010470453 IN Primary
Neurology Physician 2084N0400X 01060196A IN

Addresses

Primary practice location

813 W 2ND St
Bloomington, IN 47403-2212

Mailing address

813 W 2ND St
Bloomington, IN 47403-2212
Phone (812) 330-0303

Other practice location 1

1501 J St Ste 206
Bedford, IN 47421-3840
Phone (812) 330-0303

Other identifiers 3

IdentifierTypeStateIssuer
200024360MedicaidIN
200510770MedicaidIN
200514330MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100617000512 IN Part B Supplier - Clinic/Group Practice 6901873785 Receives reassigned benefits from 4 practitioners
Practice locations: Bedford, IN; Bloomington, IN

National Provider Directory

National Provider Directory

Locations

1501 J St
Ste 206
Bedford, IN 47421
Phone (812) 330-0303

813 W 2nd St
Bloomington, IN 47403
Phone (812) 330-0303

Interoperability endpoints

  • Direct secure messaging: brianmoore@ns.allscriptsdirect.net
  • Direct secure messaging: jamiebales@ns.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1194865642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032212",
            "telephone_number": "812-330-0303",
            "fax_number": "812-330-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032212",
            "telephone_number": "812-330-0303",
            "fax_number": "812-330-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 J St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474213840",
            "country_code": "US",
            "telephone_number": "812-330-0303",
            "fax_number": "812-330-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROLOGY SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "BALES",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-330-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000690A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "010470453",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01060196A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200024360",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200510770",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200514330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.