Neuralwatch Wisconsin LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEURALWATCH WISCONSIN LLC

Practice address

812 Avis Dr
Ann Arbor, MI 48108-9649

Phone

(800) 638-7564

Fax

(866) 634-2766

NPI assigned

Dec 11, 2008

Organization subpart

No

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

Authorized official

Name

Brad Davis, M.D.

Title

Owner/President

Phone

(800) 638-7564

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1538304027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 AVIS DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089649",
            "telephone_number": "800-638-7564",
            "fax_number": "866-634-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 AVIS DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089649",
            "telephone_number": "800-638-7564",
            "fax_number": "866-634-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURALWATCH WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "800-638-7564",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuralwatch North Dakota PLLC
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• Neuralwatch Texas PLLC
• Neuralwatch West Virginia PLLC
• Neurodiverse Michigan, PLLC
• Neurofitness Counseling Services LLC
• Neuromed, Inc.
• Neurtheria Counseling, LLC
• Kerri Lynne Neville, MD

• Neurology Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.