Organization
BG NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. URVI SHAH MD (OWNER)
(864) 577-9107
Entity
Organization
Contact information
Practice address
1770 SKYLYN DR, SPARTANBURG, SC 29307-1045
(864) 577-9107
(864) 699-1999
Mailing address
1071 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2201
(864) 577-9107
(864) 699-1999
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
19324
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E200
MEDICARE
SC
05
—
GP8417
—
SC
Enumeration date
08/17/2014
Last updated
03/16/2026
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