Organization
NEUROLOGY SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE CAROL BALES M.D. (PRESIDENT)
(812) 330-0303
Entity
Organization
Contact information
Practice address
813 W 2ND ST, BLOOMINGTON, IN 47403-2212
(812) 330-0303
(812) 330-0404
Mailing address
813 W 2ND ST, BLOOMINGTON, IN 47403-2212
(812) 330-0303
(812) 330-0404
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
010470453
IN
2084N0400X
Neurology Physician
01060196A
IN
363AM0700X
Medical Physician Assistant
10000690A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200024360
—
IN
05
—
200510770
—
IN
05
—
200514330
—
IN
Enumeration date
02/07/2007
Last updated
09/03/2025
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