Brainsport

Primary specialty

Sports Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0010X

Legal business name

BRAINSPORT

Practice address

2525 Burns Rd
Palm Beach Gardens, FL 33410-5204

Phone

(772) 337-7272

Fax

(772) 337-7734

NPI assigned

Jan 2, 2020

Organization subpart

No

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

Authorized official

Name

Francis X Conidi, D.O.

Title

Ceo

Phone

(772) 337-7272

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1154960573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 BURNS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105204",
            "telephone_number": "772-337-7272",
            "fax_number": "772-337-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 BURNS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105204",
            "telephone_number": "772-337-7272",
            "fax_number": "772-337-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "CONIDI",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-337-7272",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Wayne Bradshaw
• Annmarie Aideen Brady, MPT; CERT. MDT
• Tina Ann Brady, AGPCNP-C
• Jessica Braendel, PTA
• Florian Braich, D.D.S.
• Shelley A Brandt, M.S. CCC-SLP
• Branjrewc, LLC
• Jennifer Lee Bravos, MS NP-C
• Petra Maria Bray
• Merelin Braymes, LMT, HHP

• Sports Medicine (Psychiatry & Neurology) Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Sports Medicine (Psychiatry & Neurology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.