Organization Active NPI

Neurology Associates of Sebring, PA

  • Neurology Physician
  • Sebring, FL
National Provider Identifier
1346563368
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY ASSOCIATES OF SEBRING, PA
Practice address
4325 Sun N Lake Blvd
Suite 104
Sebring, FL 33872-2171
Phone
(863) 402-0066
NPI assigned
Mar 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Dr. Bridglal Ramkissoon, MDNPI 1639110018
Title
President
Phone
(863) 402-0066

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

4325 Sun N Lake Blvd
Suite 104
Sebring, FL 33872-2171

Mailing address

4325 Sun N Lake Blvd
Suite 104
Sebring, FL 33872-2171
Phone (863) 402-0066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101013001249 FL Part B Supplier - Clinic/Group Practice 8921290537 Receives reassigned benefits from 1 practitioner
Practice locations: Sebring, FL

National Provider Directory

National Provider Directory

Locations

4325 Sun N Lake Blvd
Ste 104
Sebring, FL 33872
Phone (863) 385-3937

6801 US 27 N
Ste A3
Sebring, FL 33870
Phone (863) 402-0066

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1346563368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 SUN N LAKE BLVD",
            "address_2": "SUITE 104",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722171",
            "telephone_number": "863-402-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 SUN N LAKE BLVD",
            "address_2": "SUITE 104",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722171",
            "telephone_number": "863-402-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF SEBRING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "RAMKISSOON",
        "authorized_official_first_name": "BRIDGLAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-402-0066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.