Healthcare Provider Details

I. General information

NPI: 1336073667
Provider Name (Legal Business Name): NEUROLOGY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 CYCLONE DR STE D
WATERLOO IA
50701-9715
US

IV. Provider business mailing address

2515 CYCLONE DR STE D
WATERLOO IA
50701-9715
US

V. Phone/Fax

Practice location:
  • Phone: 830-320-3852
  • Fax: 830-341-5593
Mailing address:
  • Phone: 830-320-3852
  • Fax: 830-341-5593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: IVO BEKAVAC
Title or Position: OWNER
Credential: MD PHD
Phone: 830-320-3852