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Dr. Neil Pugach, MD

Headache Specialist

921 First Colonial Rd Suite 1715, Virginia Beach, VA 23454

(757) 226 - 0603


Neil Pugach, M.D. was born in Englewood , New Jersey and graduated from Connecticut College, and received his M.D. degree from Boston University Medical School in 1980. He served as an Internal Medicine intern at the Long Beach VA Medical Center in Long Beach, CA, then practiced general medicine in Southern California for 2 years. He subsequently completed 2 years of psychiatry residency at Cedars-Sinai Medical Center in Los Angeles, followed by 3 years of neurology residency at Harbor-UCLA Medical Center in Torrance, CA, graduating in 1988.

He then practiced general neurology in West Los Angeles for 7 years, before relocating to Virginia Beach, VA. He continued to practice general neurology, in Chesapeake, VA for 8 years, before devoting his practice to the treatment of headache disorders.

Dr. Pugach was among the first group of physicians to take and pass the Headache Medicine boards, first offered by the United Council of Neurologic Subspecialties, in 2006. He has continued to practice headache medicine, while also spending 2 years predominantly serving as a principal investigator for clinical drug trials involving new treatments for migraines and psychiatric disorders. This included participation in the PREEMPT trial, the study which led to the first preventive treatment ever approved by the FDA in the US for chronic migraine, i.e., Botox injections.


American Board of Psychiatry and Neurology (Neurology)

United Council of Neurologic Subspecialties (Headache Medicine)


Goldstein J, Pugach N, Smith T, Nett R, Angelov AS, Pierce MW

“Acute anti-migraine efficacy and tolerability of Zelrix, a novel iontophoretic transdermalpatch of sumatriptan”

Cephalalgia 2009 Oct; 29 Suppl 1: 20

Pugach NL

“An ususual form of TAC-TAC sine autonomic phenomena”

J Headache Pain 2008 Oct; 9(5): 331-332

Coodley E, Pugach N, Toppo F.
“Evaluation of Quinidine short and long-acting in control of arrhythmias”
Angiology 1984 Sep; 35(9): 581-90
Dr. Neil Pugach, Neurologist and headache specialist, is located conveniently in Virginia Beach on First Colonial Road and treats patients with headache and migraine pain. Treatments are advanced and in some cases include Botox injections, nerve blocks and trigger point injections. Dr. Pugach also specializes in brain injury and head trauma. Dr. Neil Pugach, MD is also experienced with IME evaluations.


American Academy of Neurology

American Headache Society

International Headache Society

National Headache Foundation

International Brain Injury Association