Neurological Care Clinic PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101238524 Issued in VA

Legal business name

NEUROLOGICAL CARE CLINIC PC

Practice address

825 Davis St
Suite D
Blacksburg, VA 24060-7013

Phone

(540) 951-5090

Fax

(540) 552-3100

NPI assigned

Apr 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Marrufo, M.D.NPI 1205863644

Title

President

Phone

(540) 951-5090

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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

• Manuel Marrufo, M.D.

  • Neurology Physician
  • Blacksburg, VA
  • NPI 1205863644
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1700102753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240680126",
            "telephone_number": "540-951-5090",
            "fax_number": "540-552-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DAVIS ST",
            "address_2": "SUITE D",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607013",
            "telephone_number": "540-951-5090",
            "fax_number": "540-552-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL CARE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "MARRUFO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-951-5090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101238524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010275091",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Neely, M.D.
• Julie S Neely, LPC
• Brianna Negrete
• Jim Neill, CRNA
• Geralyn Wheeler Neumann, RPA-C
• Neurology Services of Southwest Virginia
• Neuropsychological & Counseling Services, Inc.
• New Beginnings Pediatrics PLLC
• New River Dermatology PLC
• New River Neurology and Epilepsy

• Specialist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.