Neurophysiology Center P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0043683 Issued in FL

Legal business name

NEUROPHYSIOLOGY CENTER P.A.

Practice address

401 N Parsons Ave
Suite 105
Brandon, FL 33510-4538

Phone

(813) 653-2775

Fax

(813) 653-4521

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Laurie Lucas

Title

Billing Coordinator

Phone

(813) 653-2775

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Amanda Camp, ARNP

  • Primary Care Nurse Practitioner
  • Tampa, FL
  • NPI 1366761546
  Medicare reassignment Care Compare group NPD
• Rafael Miguel Rodriguez

  • Neurology Physician
  • Brandon, FL
  • NPI 1669449963
  Medicare reassignment Care Compare group NPD
• Rafael Moises Rodriguez, MD

  • Neurology Physician
  • Brandon, FL
  • NPI 1417397894
  Medicare reassignment Care Compare group NPD
• Leila M Patallo, M.D.

  • Neurology Physician
  • Melbourne, FL
  • NPI 1346275948
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609995489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N PARSONS AVE",
            "address_2": "SUITE 105",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104538",
            "telephone_number": "813-653-2775",
            "fax_number": "813-653-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N PARSONS AVE",
            "address_2": "SUITE 105",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104538",
            "telephone_number": "813-653-2775",
            "fax_number": "813-653-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPHYSIOLOGY CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "813-653-2775"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0043683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Nercesian, M.ED., BCBA
• Qushania Nesbitt, ARNP
• Bryan Thomas Netti, PHARM D, LCSW
• Samantha Nettleton, M.S
• Neurodevelopmental Center for Children LLC
• Neuspine Institute LLC
• New Day Pain and Wellness L.L.C.
• New Horizons Group Homes, Inc.
• New Horizons Group Homes, Inc.
• New Journey Counseling Center LLC

• Specialist in Brandon, FL
• Providers in Brandon, FL by specialty
• Specialist in Florida

• 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.
• 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.