Organization Active NPI

Neurology Associates of W PA

  • Neurology Physician
  • Brackenridge, PA
National Provider Identifier
1477648251
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD017633E Issued in PA
Legal business name
NEUROLOGY ASSOCIATES OF W PA
Practice address
985 Penn St
Suite a
Brackenridge, PA 15014-1160
Phone
(724) 224-2083
Fax
(724) 224-2860
NPI assigned
Oct 4, 2006
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Malcolm P Berger, M.D.NPI 1073577243
Title
Owner
Phone
(724) 224-2083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD017633E PA Primary

Addresses

Primary practice location

985 Penn St
Suite a
Brackenridge, PA 15014-1160

Mailing address

985 Penn St
Suite a
Brackenridge, PA 15014-1160
Phone (724) 224-2083

Other identifiers 1

IdentifierTypeStateIssuer
0007276570003MedicaidPA

National Provider Directory

National Provider Directory

Locations

985 Penn St
Ste A
Brackenridge, PA 15014
Phone (724) 224-2083

Practitioners & affiliated clinicians

Practitioners 1

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1477648251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PENN ST",
            "address_2": "SUITE A",
            "city": "BRACKENRIDGE",
            "state": "PA",
            "postal_code": "150141160",
            "telephone_number": "724-224-2083",
            "fax_number": "724-224-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PENN ST",
            "address_2": "SUITE A",
            "city": "BRACKENRIDGE",
            "state": "PA",
            "postal_code": "150141160",
            "telephone_number": "724-224-2083",
            "fax_number": "724-224-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF W PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-224-2083",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD017633E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007276570003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brackenridge, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.