Organization Active NPI

Healthy Brain Neurology Corp

  • Neurology Physician
  • Beavercreek, OH
National Provider Identifier
1285005116
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35-074014 Issued in OH
Legal business name
HEALTHY BRAIN NEUROLOGY CORP
Practice address
3572 Dayton Xenia Rd Ste 217
Beavercreek, OH 45432-2838
Phone
(937) 433-0085
Fax
(937) 433-0084
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Dr. Antonela Svetic, M.D.NPI 1245309384
Title
Owner
Phone
(937) 310-1308

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 35-074014 OH Primary

Addresses

Primary practice location

3572 Dayton Xenia Rd Ste 217
Beavercreek, OH 45432-2838

Mailing address

3572 Dayton Xenia Rd Ste 217
Beavercreek, OH 45432-2838
Phone (937) 433-0085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151229000813 OH Part B Supplier - Clinic/Group Practice 4284935735 Receives reassigned benefits from 1 practitioner
Practice locations: Beavercreek, OH

National Provider Directory

National Provider Directory

Locations

3572 Dayton Xenia Rd
Ste 217
Beavercreek, OH 45432
Phone (937) 433-0085

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12459/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1285005116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3572 DAYTON XENIA RD STE 217",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322838",
            "telephone_number": "937-433-0085",
            "fax_number": "937-433-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3572 DAYTON XENIA RD STE 217",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322838",
            "telephone_number": "937-433-0085",
            "fax_number": "937-433-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY BRAIN NEUROLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "SVETIC",
        "authorized_official_first_name": "ANTONELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-310-1308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35-074014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.

Verify at the official NPI Registry.