National Provider Identifier Database

BG NEUROLOGY LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

BG NEUROLOGY LLC
1770 SKYLYN DR
SPARTANBURG, SC29307-1045
Phone: 864-577-9107
Fax: 864-699-1999
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for BG NEUROLOGY LLC

NPI Number 1518366483
Legal business name
LBN
BG NEUROLOGY LLC
Authorized official URVI SHAH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/17/2014
Last updated 03/16/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 19324
  • SC Medicaid: GP8417
  • SC Other: E200 MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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