DR. CHARLES BAZEMORE MIKELL M.D. NPI 1124254917

NPI Information

  • NPI: 1124254917
  • Provider Name: DR. CHARLES BAZEMORE MIKELL, M.D.
  • Classification: Neurological Surgery - 207T00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: HSC T12
    ROOM 080
    STONY BROOK, NY
    ZIP 11794
  • Phone: (631) 444-1116

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NPI Details

DR. Charles Bazemore Mikell, M.D. is a neurological surgery in Stony Brook, NY with 17 years of experience. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. DR. Charles Bazemore Mikell, M.D. NPI is 1124254917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

HSC T12
ROOM 080
STONY BROOK, NY
ZIP 11794-122
Phone: (631) 444-1116

The NPI 1124254917 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Computer-assisted procedure inside brain (HCPCS:61781)
  • Use of operating microscope (HCPCS:69990)
  • Insertion of programmable spinal canal drug infusion pump (HCPCS:62362)
  • Removal of skull bone for removal of growth of upper brain (HCPCS:61510)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Insertion, revision, or repositioning of spinal canal tube for medication administration (HCPCS:62350)

The enumeration date for this NPI number is 6/7/2009 and was last updated on 9/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207T00000XNeurological SurgeryTP008KENTUCKYNo
3207T00000XNeurological Surgery273606NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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