Organization Active NPI

Global Brain Center,LLC

  • Health Service Clinic/Center
  • Southlake, TX
National Provider Identifier
1275070971
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Nov 9, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.