BROADSTONE NEUROLOGY GROUP LLC – NPI #1558163865
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

BROADSTONE NEUROLOGY GROUP LLC is a psychiatry & neurologist located in HOUSTON, TX. NPPES has assigned the NPI number 1558163865 to BROADSTONE NEUROLOGY GROUP LLC on March 26, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROADSTONE NEUROLOGY GROUP LLC below.

NPI Profile for
BROADSTONE NEUROLOGY GROUP LLC

NPI Number
1558163865
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROADSTONE NEUROLOGY GROUP LLC
Primary location
3050 POST OAK BLVD STE 510
HOUSTON, TX 77056-6512
Phone: (281) 674-3092 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MELISSA MANTOR
MANAGER
Phone: (561) 254-8836
Updated
Certification Date
Mar 26, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
2085R0202X
- Radiology / Diagnostic Radiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.