Braingevitymd

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRAINGEVITYMD

Practice address

9220 Overlook Dr
Temple Terrace, FL 33617-5422

Phone

(813) 820-1520

NPI assigned

Aug 29, 2025

Organization subpart

No

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

Authorized official

Name

Ellie Frazey, MDNPI 1003472366

Title

Medical Director

Phone

(813) 820-1520

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ellie Frazey, MD

  • Neurology Physician
  • Temple Terrace, FL
  • NPI 1003472366
  NPD Authorized official

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1255210530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 OVERLOOK DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175422",
            "telephone_number": "813-820-1520",
            "fax_number": "949-864-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 OVERLOOK DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175422",
            "telephone_number": "813-820-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINGEVITYMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "FRAZEY",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-820-1520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Marie Boudreau
• Elie Boutros, DPT
• Luz Maria Bovell, MSW
• Jamecia Bowden
• Zenobia Bowen, DPM
• Tyler Robert Branscombe, D.M.D
• Danielle Breitweiser, DPT
• Michele Elisabeth Brengs, APRN
• Alisa Brindley, APRN
• Ryan Mitchell Brink, DO

• Clinic/Center in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.