NPIMap

Organization Active NPI

Neurology Associates of Spokane

  • Neurology Physician
  • Spokane, WA
National Provider Identifier
1477690618
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY ASSOCIATES OF SPOKANE
Practice address
715 S Cowley St Ste 224
Spokane, WA 99202-1384
Phone
(509) 624-9154
Fax
(509) 838-0102
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles E Brondos, M.D.NPI 1770529786
Title
President of Corp Andoffice Manager
Phone
(509) 624-9154

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 Physician 2084N0400X WA Primary

Addresses

Primary practice location

715 S Cowley St Ste 224
Spokane, WA 99202-1384

Mailing address

715 S Cowley St Ste 224
Spokane, WA 99202-1384
Phone (509) 624-9154

Other identifiers 3

IdentifierTypeStateIssuer
0031500OtherWALABOR AND INDUSTRIES
35-9723MedicaidMT
7842909MedicaidWA

National Provider Directory

National Provider Directory

Locations

715 S Cowley St
Ste 224
Spokane, WA 99202
Phone (509) 473-6706

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477690618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S COWLEY ST STE 224",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021384",
            "telephone_number": "509-624-9154",
            "fax_number": "509-838-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S COWLEY ST STE 224",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021384",
            "telephone_number": "509-624-9154",
            "fax_number": "509-838-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF SPOKANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRONDOS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OF CORP ANDOFFICE MANAGER",
        "authorized_official_telephone_number": "509-624-9154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0031500",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35-9723",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7842909",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.