Organization Active NPI

Brain Matters Inc

  • Medical Specialty Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1003096157
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME71236 Issued in FL
Legal business name
BRAIN MATTERS INC
Practice address
4723 W Atlantic Ave # a-7
Delray Beach, FL 33445-3895
Phone
(561) 374-8461
Fax
(561) 374-8463
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark L Brody, MD
Title
Doctor
Phone
(561) 374-8461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME71236 FL Primary

Addresses

Primary practice location

4723 W Atlantic Ave # a-7
Delray Beach, FL 33445-3895

Mailing address

4723 West Atlantic Ave a-7
Delray Beach, FL 33445-3865
Phone (561) 374-8461

Other names 1

  • MARK L BRODY MD Doing business as

National Provider Directory

National Provider Directory

Locations

800 NW 17th Ave
Delray Beach, FL 33445
Phone (561) 272-5866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1003096157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4723 WEST ATLANTIC AVE A-7",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453865",
            "telephone_number": "561-374-8461",
            "fax_number": "561-374-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 W ATLANTIC AVE # A-7",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453895",
            "telephone_number": "561-374-8461",
            "fax_number": "561-374-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN MATTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "561-374-8461",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME71236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARK L BRODY MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.