Brainhertz Neurodiagnostic LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

BRAINHERTZ NEURODIAGNOSTIC LLC

Practice address

1801 N Hampton Rd Ste 416
Desoto, TX 75115-2420

Phone

(214) 437-1932

NPI assigned

Aug 2, 2016

Organization subpart

No

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

Authorized official

Name

Tia Cooks

Title

Administrator

Phone

(469) 490-1270

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Darrick Starr, R. EEG TECH

  • EEG Specialist/Technologist
  • Rowlett, TX
  • NPI 1912371998
  NPD
• Sharisse Marie Stephenson, MD

  • Neurology Physician
  • Bloomington, IN
  • NPI 1538358684
  NPD

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1043763493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WHISPERING OAKS CV",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751048243",
            "telephone_number": "214-437-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD STE 416",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152420",
            "telephone_number": "214-437-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINHERTZ NEURODIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "COOKS",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-490-1270"
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Annette Boyd
• Amirah Boyo, LMT, MMT
• Brianna Marie Bradshaw, ATC
• Tonya Annette Bradshaw, LPC
• Naishadh Brahmbhatt, MD
• Lisa J Brandy, DPM
• Brighter Days HCS
• Brisbane Inc
• Brookdale Senior Living Communities, Inc.
• Brookwood Healthcare Systems, LLC

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Desoto, TX
• Providers in Desoto, TX by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.