Provider Demographics
NPI:1962506485
Name:CAPE COD NEUROLOGY PC
Entity Type:Organization
Organization Name:CAPE COD NEUROLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BIRBIGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-775-2600
Mailing Address - Street 1:6 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:508-775-2600
Mailing Address - Fax:508-775-1437
Practice Address - Street 1:6 MAIN ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-775-2600
Practice Address - Fax:508-775-1437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA348612084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2235036OtherUS HEALTH
N01578OtherBCBS
MA0107611Medicaid
11903OtherHARVARD PILGRIM
034861OtherTUFTS
0500058OtherUNITED
0500058OtherUNITED
11903OtherHARVARD PILGRIM