Cep America - Neurology PC
Organization Active NPI Neurology Physician · Prineville, OR
NPI 1205305083 · NPPES record last updated Jan 2, 2020
Key facts
- NPI
- 1205305083
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- CEP AMERICA - NEUROLOGY PC
- Practice address
- 384 SE Combs Flat Rd
Prineville, OR 97754-2562 - Phone
- (541) 447-6254
- NPI assigned
- Nov 21, 2018
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, M.D
- Title
- C.O.O
- Phone
- (510) 350-2600
Corporate family (same tax ID) 32
National Provider Directory
- Tax ID family
- Cep America - Neurology PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | Yes |
Addresses
Primary practice location
384 SE Combs Flat Rd
Prineville, OR 97754-2562
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2600
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All providers in Prineville, OR · Neurology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.