Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle L Dougherty, MD

Individual provider Neurology Physician · NPI 1396935433

Michelle L Dougherty, MD is a Neurology in Philadelphia, Pennsylvania. Qualified in 2002, 24 years ago. Practices with Gni Neuroservices, LLC, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Pennsylvania.

Years since qualifying
24
Licensed in
MA, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

219 N Broad St 7th Fl
Philadelphia, PA 19107-1519
Phone: (215) 762-6915
Fax: (215) 762-6914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD438250 (PA)
Neurology Physician Taxonomy 2084N0400X · Licence 232697 (MA)

Record details

NPI number1396935433
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 25, 2007
Last updated in NPPESMay 6, 2016
Mailing address1601 Cherry St, Suite 11511, Philadelphia, PA 19102-1320

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Gni Neuroservices, Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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