Healthcare Provider Details

I. General information

NPI: 1144178153
Provider Name (Legal Business Name): NATIONAL NEUROPATHY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4636 S HARVARD AVE STE 102
TULSA OK
74135-2908
US

IV. Provider business mailing address

11510 BALDY EWELL WAY STE 101
SPOTSYLVANIA VA
22551-4681
US

V. Phone/Fax

Practice location:
  • Phone: 918-921-8160
  • Fax:
Mailing address:
  • Phone: 443-691-2016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. STEPHEN MICHAEL ERLE
Title or Position: CEO
Credential: DC
Phone: 443-691-2016