Healthcare Provider Details

I. General information

NPI: 1679808778
Provider Name (Legal Business Name): NC NEUROBEHAVIORAL ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2009
Last Update Date: 03/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MEADOWMONT VILLAGE CIR SUITE 421
CHAPEL HILL NC
27517-7505
US

IV. Provider business mailing address

6409 FAYETTEVILLE RD SUITE 120-118
DURHAM NC
27713-6297
US

V. Phone/Fax

Practice location:
  • Phone: 919-246-9502
  • Fax:
Mailing address:
  • Phone: 919-246-9502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number3266
License Number StateNC

VIII. Authorized Official

Name: DR. BART D BRIGIDI JR.
Title or Position: DIRECTOR
Credential: PHD
Phone: 919-246-9502