MEDICARE: WILLIAMSBURG NEUROLOGY, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	0101048000	VA
2	174400000X	Specialist	0101052740	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	270420	OTHER	VA	ANTHEM GROUP NUMBER
3	322877	OTHER	VA	HARDING-ANTHEM BCBS
4	84282	OTHER	VA	HARDING-SOUTHERN HEALTH
5	95834	OTHER	VA	SOUEIDAN-SOUTHERN HEALTH
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	270421	OTHER	VA	SOUEIDAN-ANTHEM BCBS
8	45061	OTHER	VA	SOUEIDAN-SENTARA PROVIDER
9	54560	OTHER	VA	HARDING-SENTARA PROVIDERU

General Provider Information

NPI Number	:	1831196872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMSBURG NEUROLOGY, P.C.

Provider Business Mailing Address
First Line	:	120 KINGS WAY
Second Line	:	SUITE 2700
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-2505
Country	:	US
Telephone Number	:	757-221-0110
Fax Number	:	757-221-0851

Provider Business Practice Location Address
First Line	:	120 KINGS WAY
Second Line	:	SUITE 2700
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-2505
Country	:	US
Telephone Number	:	757-221-0110
Fax Number	:	757-221-0851

Authorized Official
Title or Position	:	MEDICAL PRACTICE ADMINISTRATOR
Name	:	MR. SHAWN M. BRAINARD
Credential	:	MBA
Telephone Number	:	757-345-3907

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	03/07/2023

Similar Medicare Providers

1710985239 — ASSER A EL-ATFY MD
Practice Location Address:

120 KINGS WAY , SUITE 2200
WILLIAMSBURG, VA
23185-2505

Practice Phone: 757-645-3460
Practice Fax: 757-645-3481

1184624439 — DR. HALL RENFRO HOWARD MD
Practice Location Address:

120 KINGS WAY
WILLIAMSBURG, VA
23185-2505

Practice Phone: 757-345-0141
Practice Fax: 757-253-1527

1184617466 — JOE JOSEPH FENN MD
Practice Location Address:

120 KINGS WAY , STE 2200
WILLIAMSBURG, VA
23185-2505

Practice Phone: 757-645-3460
Practice Fax: 757-645-3461

1902899784 — PENINSULA ANESTHESIA CONSULTANTS LLC
Practice Location Address:

120 KINGS WAY , STE 1500
WILLIAMSBURG, VA
23185-2505

Practice Phone: 757-645-3216
Practice Fax: 757-645-3132

1346235579 — CHARLES J DONLAN JR. MD
Practice Location Address:

120 KINGS WAY , SUITE 2200
WILLIAMSBURG, VA
23185-2505

Practice Phone: 757-645-3460
Practice Fax: 757-645-3481

1740275965 — THOMAS LEE MUNZEL MD
Practice Location Address:

120 KINGS WAY , SUITE 2200
WILLIAMSBURG, VA
23185-2505

Practice Phone: 757-645-3460
Practice Fax: 757-645-3481

Directions to “WILLIAMSBURG NEUROLOGY, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.