Brainflo PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

L5412 Issued in TX

Legal business name

BRAINFLO PA

Practice address

2180 North Loop W
Ste 320
Houston, TX 77018-8014

Phone

(832) 384-1560

Fax

(832) 384-1585

NPI assigned

Apr 13, 2009

Last updated

Apr 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haesue Florence Kim, M.D.

Title

Physician/Owner

Phone

(281) 466-1891

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Miller Maclean, PHD

  • Counselor
  • Houston, TX
  • NPI 1689900987
  NPD (past)

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1013150507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 004814",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "281-466-1891",
            "fax_number": "281-296-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 NORTH LOOP W",
            "address_2": "STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188014",
            "telephone_number": "832-384-1560",
            "fax_number": "832-384-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINFLO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HAESUE",
        "authorized_official_middle_name": "FLORENCE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "281-466-1891",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L5412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE /PERMIT #",
            "identifier": "L5412",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brain Injury Blood Test LLC
• Brain Injury Rehab Doc LLC
• Braincare Tbi LLC
• Richard W Brainerd III, ATC, LAT, MS.ED
• Brainex Consulting Inc
• Brainview Inc
• Stephannie Brajot, SLP-CFY
• Monica Maria Brallier, OTR
• Kristina Medhus Braly, M.D.
• Richard Bram, B.S.

• Psychiatry Physician in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.