Braincare, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

BRAINCARE, LLC

Doing business as

Global Neuro-Diagnostics

Practice address

1320 Main St Ste 347
Columbia, SC 29201-3204

Phone

(866) 848-2522

Fax

(877) 290-1544

NPI assigned

Dec 3, 2015

Last updated

Dec 3, 2015By 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

Janice Shock, R.EEGT, MBA

Title

Sr Director of Operations

Phone

(214) 532-3757

Specialties & licenses 1

Addresses

Other names 1

• Global Neuro-Diagnostics Doing business as

Locations

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1184099046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 FIREWHEEL DR",
            "address_2": "STE B",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750284601",
            "telephone_number": "866-848-2522",
            "fax_number": "877-290-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MAIN ST STE 347",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013204",
            "telephone_number": "866-848-2522",
            "fax_number": "877-290-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "SHOCK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "SR DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "214-532-3757",
        "authorized_official_credential": "R.EEGT, MBA"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Global Neuro-Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcia Leola Brafford, RNC, NNP
• Sarah Fowler Braga, PHARMD
• Austin Bragdon, PA-C
• John Earl Bragg Jr., M.D.
• Latonya Brailsford, DNP, APRN,FNP-BC
• Melissa Tournet Bramante, APRN, AGACNP-BC
• Branch & Stafford Optometric Associates, PA
• Gracin Elise Brand I
• Barbara Beck Brandenburg, DPT
• Jeffery Hall Brandenburg, MD

• Physiological Laboratory in Columbia, SC
• Providers in Columbia, SC by specialty
• Physiological Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.