Brainwave Diagnostic LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

BRAINWAVE DIAGNOSTIC LLC

Practice address

7777 Forest LN Ste B416
Dallas, TX 75230-2566

Phone

(844) 212-5321

NPI assigned

Jun 13, 2019

Organization subpart

No

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

Authorized official

Name

Matias Day

Title

Owner

Phone

(844) 212-5321

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1184283053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6529",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715114",
            "telephone_number": "844-212-5321",
            "fax_number": "214-594-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B416",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302566",
            "telephone_number": "844-212-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINWAVE DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "MATIAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-212-5321"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MGMTSERVICES@NEULINEHEALTH.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7777 Forest Ln Ste B416",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752302566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sneha Brahmbhatt, DDS
• Zachary Mayank Brahmbhatt, MD
• Brain Performance Center
• Brain Waves , PA
• Brainbridge Psychological and Behavioral Health
• Alycia Braithwaite, PA-C
• Dan Brajtbord, M.D.
• Braken Group, LLP
• Kelvin L. Bramlett, LMSW
• James Glenn Schweer Bramlette, MD

• Physiological Laboratory in Dallas, TX
• Providers in Dallas, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.