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NPI 1831461789 · Neurology Physician · Bridgeport, CT
Provider details
- NPI number
- 1831461789
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Toshirea Jackson, Owner/Partner(203) 650-4681
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
70 Lincoln Blvd
Bridgeport, CT 06606-5550
Phone: (203) 650-4681
Street-level locationGet directions
Mailing address
70 Lincoln Blvd
Bridgeport, CT 06606-5550
Registry dates
- Enumerated
- 2012-02-07
- Last updated
- 2012-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.