Organization Active NPI

Brain Train Center Inc

  • Chiropractor
  • Miami, FL
National Provider Identifier
1215284484
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10490 Issued in FL
Legal business name
BRAIN TRAIN CENTER INC
Practice address
3245 Virginia St
21
Miami, FL 33133-5229
Phone
(281) 414-6573
NPI assigned
Aug 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Dr. George M. Samuel Jr., D.C.
Title
Chiropractic Clinician
Phone
(281) 414-6573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10490 FL Primary

Addresses

Primary practice location

3245 Virginia St
21
Miami, FL 33133-5229

Mailing address

3245 Virginia St
21
Miami, FL 33133-5229
Phone (281) 414-6573

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1215284484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 VIRGINIA ST",
            "address_2": "21",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335229",
            "telephone_number": "281-414-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 VIRGINIA ST",
            "address_2": "21",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335229",
            "telephone_number": "281-414-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN TRAIN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIROPRACTIC CLINICIAN",
        "authorized_official_telephone_number": "281-414-6573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.