CMS-1500 Box 24J / 33a • NPI
1043576218
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
2084P0805X (CMS 86)
Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)
Box 32 Service Location & ZIP+4
615 CLINIC DR, LONGVIEW, TX, 75605-5172
✓ 9-Digit EDI 837 ZIP+4 (75605-5172)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1043576218 (7872 INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1043576218 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | 7872 INC. |
| Plain-English Specialty | Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: 2084P0805X (N/A) |
| Certifying / Licensing Body | American Board of Psychiatry and Neurology (ABPN) |
| Practice Location Address | 615 CLINIC DR, LONGVIEW, TX, 75605-5172 |
| Practice Telephone / Fax | Tel: (903) 212-3105 |
| Administrative Mailing Address | 2400 SUGAR CREEK CIR, LONGVIEW, TX, 75605-2580 |
| Enumeration & Last Sync | Enumerated: 2012-04-02 | CMS Record Updated: 2022-09-16 |
| Authorized Official | RUPA PEDDIREDDY (President) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2084P0805X)
What Does Taxonomy Code 2084P0805X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084P0805X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (7872 INC.)
Typical CPT / Diagnostic Procedures:- Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
- Electromyography (EMG) & Nerve Conduction Studies (NCS)
- Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
- Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review
- CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
- Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
- Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
- Antiplatelet & Secondary Stroke Prevention Regimens
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2084P0805X — Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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