Organization Active NPI

Bay Central Neurology Inc

  • Neurology Physician
  • St. Petersburg, FL
National Provider Identifier
1861675787
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME85988 Issued in FL
Legal business name
BAY CENTRAL NEUROLOGY INC
Practice address
2575 Ulmerton Rd
Suite 300
St. Petersburg, FL 33762-2283
Phone
(727) 471-0324
Fax
(727) 471-0329
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Susan E Unger
Title
Practice Manager
Phone
(727) 471-0324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME85988 FL Primary

Addresses

Primary practice location

2575 Ulmerton Rd
Suite 300
St. Petersburg, FL 33762-2283

Mailing address

2575 Ulmerton Rd
Suite 300
St. Petersburg, FL 33762-2283
Phone (727) 471-0324

Other identifiers 1

IdentifierTypeStateIssuer
269986900MedicaidFL

National Provider Directory

National Provider Directory

Locations

2575 Ulmerton Rd
Ste 300
Clearwater, FL 33762
Phone (727) 471-0324

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1861675787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 ULMERTON RD",
            "address_2": "SUITE 300",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337622283",
            "telephone_number": "727-471-0324",
            "fax_number": "727-471-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 ULMERTON RD",
            "address_2": "SUITE 300",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337622283",
            "telephone_number": "727-471-0324",
            "fax_number": "727-471-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CENTRAL NEUROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "UNGER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "727-471-0324"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME85988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269986900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.