Millennium Neurology PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MILLENNIUM NEUROLOGY PLLC

Practice address

3901 N Roxboro St
Suite 101
Durham, NC 27704-2181

Phone

(919) 479-4120

Fax

(919) 479-4204

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Ugo Goetzl, MD

Title

President

Phone

(919) 479-4188

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1922065630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 N ROXBORO ST",
            "address_2": "SUITE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042181",
            "telephone_number": "919-479-4120",
            "fax_number": "919-479-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 N ROXBORO ST",
            "address_2": "SUITE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042181",
            "telephone_number": "919-479-4120",
            "fax_number": "919-479-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "GOETZL",
        "authorized_official_first_name": "UGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-479-4188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890215C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0215C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelo Milazzo Jr., M.D.
• Emily Miles
• Milestones Healthcare Services
• Milicia Tedder
• Drew William Millar, MD
• Millennium Payor Contracting North Carolina, LLC
• Millennium Physician Group of NC, PLLC
• Andrea B Miller, PT
• Anna Kathryn Brewster Miller, M.A., LCMHC
• Brittany Miller, NP

• Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.