Organization Active NPI

Neurology Offices of South Florida PLLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Boca Raton, FL
National Provider Identifier
1821300344
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
ME90900 Issued in FL
Legal business name
NEUROLOGY OFFICES OF SOUTH FLORIDA PLLC
Practice address
9970 Central Park Blvd N
Suite 207
Boca Raton, FL 33428-2231
Phone
(561) 482-1027
Fax
(561) 482-1028
NPI assigned
Jul 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Dr. Brian Adam Costell, MD
Title
Neurologist/Ceo Owner
Phone
(561) 482-1027

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X ME90900 FL
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0402X ME90900 FL Primary

Addresses

Primary practice location

9970 Central Park Blvd N
Suite 207
Boca Raton, FL 33428-2231

Mailing address

9970 Central Park Blvd N
Suite 207
Boca Raton, FL 33428-2231
Phone (561) 482-1027

Other names 1

  • Brian A Costell MD PA Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2014312Neurology Offices of South Florida PLLC9970 Central Park Blvd Ste 207, Boca Raton, FL 33428Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

Locations

4600 Linton Blvd
Ste 240
Delray Beach, FL 33445
Phone (305) 614-8531

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1821300344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N",
            "address_2": "SUITE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282231",
            "telephone_number": "561-482-1027",
            "fax_number": "561-482-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N",
            "address_2": "SUITE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282231",
            "telephone_number": "561-482-1027",
            "fax_number": "561-482-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY OFFICES OF SOUTH FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "COSTELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "NEUROLOGIST/CEO OWNER",
        "authorized_official_telephone_number": "561-482-1027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME90900",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME90900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian A Costell MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.