Organization Active NPI

Eric J. Brahin, MD, PLLC

  • Neurology Physician
  • San Antonio, TX
National Provider Identifier
1205259389
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
N5586 Issued in TX
Legal business name
ERIC J. BRAHIN, MD, PLLC
Practice address
2600 SW Military Dr
Suite 100
San Antonio, TX 78224-1028
Phone
(210) 923-2700
Fax
(210) 927-9200
NPI assigned
Jan 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Eric J Brahin, MDNPI 1710201264
Title
President
Phone
(210) 266-4076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X N5586 TX Primary

Addresses

Primary practice location

2600 SW Military Dr
Suite 100
San Antonio, TX 78224-1028

Mailing address

2600 SW Military Dr
Suite 100
San Antonio, TX 78224-1028
Phone (210) 923-2700

Other identifiers 1

IdentifierTypeStateIssuer
284639601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180419001458 TX Part B Supplier - Clinic/Group Practice 6204199581 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

2600 SW Military Dr
Ste 100
San Antonio, TX 78224
Phone (201) 923-2700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIEGCA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1205259389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SW MILITARY DR",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241028",
            "telephone_number": "210-923-2700",
            "fax_number": "210-923-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SW MILITARY DR",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241028",
            "telephone_number": "210-923-2700",
            "fax_number": "210-927-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J. BRAHIN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "BRAHIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-266-4076",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N5586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284639601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.