Active NPI
Colorado Neurological PLLC
- Electroneurodiagnostic Specialist/Technologist
- Myrtle Beach, SC
National Provider Identifier
1730773219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- COLORADO NEUROLOGICAL PLLC
- Practice address
- 535 N Kings Hwy # 1289
Myrtle Beach, SC 29577 - Phone
- (720) 287-3093
- NPI assigned
- Feb 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bradley Duhon, MD
- Title
- Owner
- Phone
- (720) 287-3093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
535 N Kings Hwy # 1289
Myrtle Beach, SC 29577
Mailing address
Dept 1137
Tulsa, OK 74182-0001
Phone (720) 287-3093
Other practice location 1
Dept 1137
Tulsa, OK 74182-0001
Phone (720) 287-3093
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697500800000",
"number": "1730773219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 1137",
"city": "TULSA",
"state": "OK",
"postal_code": "741820001",
"telephone_number": "720-287-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 N KINGS HWY # 1289",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29577",
"telephone_number": "720-287-3093"
}
],
"practiceLocations": [
{
"address_1": "Dept 1137",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741820001",
"country_code": "US",
"telephone_number": "720-287-3093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COLORADO NEUROLOGICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-24",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A",
"authorized_official_last_name": "DUHON",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-287-3093",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.