BK Neuromonitoring, PLLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

BK NEUROMONITORING, PLLC

Practice address

25 Highland Park Village
Suite 100 #566
Dallas, TX 75205

Phone

(469) 283-0565

Fax

(210) 566-1330

NPI assigned

Sep 17, 2012

Last updated

Apr 19, 2017By 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

Alissa Fisher

Title

Enrollment Compliance Officer

Phone

(210) 598-4240

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1154671113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND PARK VILLAGE",
            "address_2": "SUITE 100 #566",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75205",
            "telephone_number": "469-283-0565",
            "fax_number": "210-566-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND PARK VILLAGE",
            "address_2": "SUITE 100 #566",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75205",
            "telephone_number": "469-283-0565",
            "fax_number": "210-566-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BK NEUROMONITORING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_title_or_position": "ENROLLMENT COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "210-598-4240"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bivans
• Raymond Richard Bixby, M.D.
• Ibienebo Nelly Biyi, PT
• James Eustace Bizzell II, M.D.
• Carol A Bjorkman, NP
• Stephanie Ford Blache, MS, RN, CPNP
• Jon D Blachley, MD
• Agnes Blachut, RDN, LD
• Alisha Black
• Alyssa Black

• Clinical Neurophysiology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Neurophysiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.