NPIMap

Organization Active NPI

Fast Braiin Oxford PLLC

Doing business as Incredible Minds Health Services

  • Pediatrics Physician
  • Henderson, NC
National Provider Identifier
1174940506
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
199553 Issued in NC
Legal business name
FAST BRAIIN OXFORD PLLC
Doing business as
Incredible Minds Health Services
Practice address
451 Ruin Creek Rd BSMT Suite101
Henderson, NC 27536-2878
Phone
(919) 693-0752
Fax
(252) 492-9151
NPI assigned
Mar 24, 2014
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Kris R Brown
Title
Billingcredentialing
Phone
(919) 693-0752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 199553 NC Primary

Addresses

Primary practice location

451 Ruin Creek Rd BSMT Suite101
Henderson, NC 27536-2878

Mailing address

451 Ruin Creek Rd
Bsmnt/Suite 101
Henderson, NC 27536
Phone (919) 693-0752

Other names 1

  • Incredible Minds Health Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1174940506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD",
            "address_2": "BSMNT/SUITE 101",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "27536",
            "telephone_number": "919-693-0752",
            "fax_number": "252-492-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD BSMT SUITE101",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362878",
            "telephone_number": "919-693-0752",
            "fax_number": "252-492-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST BRAIIN OXFORD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLINGCREDENTIALING",
        "authorized_official_telephone_number": "919-693-0752"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "199553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Incredible Minds Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.