Active NPI
Global Brain Center,LLC
- Health Service Clinic/Center
- Southlake, TX
National Provider Identifier
1275070971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- GLOBAL BRAIN CENTER,LLC
- Practice address
- 521 W Southlake Blvd Ste 150
Southlake, TX 76092-6174 - Phone
- (817) 328-3000
- Fax
- (817) 290-1917
- NPI assigned
- Jan 19, 2017
- 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
- Gary Hollingsworth
- Title
- Owner
- Phone
- (817) 328-3000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
521 W Southlake Blvd Ste 150
Southlake, TX 76092-6174
Mailing address
521 W Southlake Blvd Ste 150
Southlake, TX 76092-6174
Phone (817) 328-3000
Other practice location 1
7930 State Highway 22
Meridian, TX 76665-2985
Phone (254) 598-1500
Other practice location 2
521 W Southlake Blvd
Suite 100
Southlake, TX 76092-6173
Phone (817) 328-3000
National Provider Directory
National Provider DirectoryLocations
521 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (817) 328-3000
521 W Southlake Blvd
Southlake, TX 76092
Phone (817) 328-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636416000000",
"number": "1275070971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 W SOUTHLAKE BLVD STE 150",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926174",
"telephone_number": "817-328-3000",
"fax_number": "817-290-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 W SOUTHLAKE BLVD STE 150",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926174",
"telephone_number": "817-328-3000",
"fax_number": "817-290-1917"
}
],
"practiceLocations": [
{
"address_1": "7930 State Highway 22",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "TX",
"postal_code": "766652985",
"country_code": "US",
"telephone_number": "254-598-1500",
"fax_number": "254-978-4120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "521 W Southlake Blvd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "760926173",
"country_code": "US",
"telephone_number": "817-328-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GLOBAL BRAIN CENTER,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-19",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A",
"authorized_official_last_name": "HOLLINGSWORTH",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-328-3000"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.