NPIMap

Organization Active NPI

Coastal Neurology, Inc.

Doing business as Coastal Pain Mgmt, Neurology & Rehabilitation

  • Neurology Physician
  • Ormond Beach, FL
National Provider Identifier
1457358434
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS5774 Issued in FL
Legal business name
COASTAL NEUROLOGY, INC.
Doing business as
Coastal Pain Mgmt, Neurology & Rehabilitation
Practice address
725 W Granada Blvd
Suite 22
Ormond Beach, FL 32174
Phone
(386) 788-2300
Fax
(386) 944-6622
NPI assigned
Jul 5, 2005
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Dr. Neil M Brown, D.C.NPI 1518965243
Title
Ceo
Phone
(386) 788-2300

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Medical Physician Assistant 363AM0700X PA1823 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
Neurology Physician 2084N0400X OS5774 FL Primary
Interventional Pain Medicine Physician 208VP0014X ME84820 FL

Addresses

Primary practice location

725 W Granada Blvd
Suite 22
Ormond Beach, FL 32174

Mailing address

725 W Granada Blvd
Suite 22
Ormond Beach, FL 32174
Phone (386) 788-2300

Other identifiers 2

IdentifierTypeStateIssuer
E60482OtherFLINDIVIDUAL-BENEZETTE
6294560001OtherFLDME

Other names 1

  • Coastal Pain Mgmt, Neurology & Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050318000222 FL Part B Supplier - Clinic/Group Practice 4082669478 Receives reassigned benefits from 18 practitioners
Practice locations: Orange City, FL; Ormond Beach, FL
O20100930082454 FL DME Supplier - Physician - Osteopathic Manipulative MedicineDME Supplier - Rehabilitation Agency 4082669478 Practice locations: Ormond Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2059089Coastal Neurology Inc725 W Granada Blvd Suite 22, Ormond Beach, FL 32174AccreditationAug 13, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Coastal Neurology, Inc725 W Granada Blvd, Ormond Beach, FL 32174-9406(386) 788-2300 Neuromuscular Elect Stimulators (NMES)/Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Neurostimulators and/or Supplies Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

760 S Volusia Ave
Ste 400
Orange City, FL 32763
Phone (386) 774-0220

801 Beville Rd
Ste 101
South Daytona, FL 32119
Phone (386) 788-2300

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1457358434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W GRANADA BLVD",
            "address_2": "SUITE 22",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-788-2300",
            "fax_number": "386-944-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W GRANADA BLVD",
            "address_2": "SUITE 22",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-788-2300",
            "fax_number": "386-944-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NEUROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-788-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA1823",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS5774",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME84820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL-BENEZETTE",
            "identifier": "E60482",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "6294560001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Pain Mgmt, Neurology & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Pain Mgmt, Neurology & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.