Active NPI
Eric J. Brahin, MD, PLLC
- Neurology Physician
- San Antonio, TX
National Provider Identifier
1205259389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- N5586
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric J Brahin, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284639601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2600 SW Military Dr
Ste 100
San Antonio, TX 78224
Phone (201) 923-2700
Interoperability endpoints
- 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.
-
- Neurology Physician
- San Antonio, TX
- NPI 1710201264
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.