Fda Medical Partners PLLC

Primary specialty

Brain Injury Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P0301X

Legal business name

FDA MEDICAL PARTNERS PLLC

Doing business as

Brain Injury Solutions, LLC

Practice address

701 E FM 1626 Ste 104
Austin, TX 78748-6035

Phone

(512) 989-6336

Fax

(512) 614-7007

NPI assigned

May 6, 2025

Organization subpart

No

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

Authorized official

Name

Annelis Petit

Title

Coo

Phone

(832) 668-4334

Specialties & licenses 1

Addresses

Other names 1

• Brain Injury Solutions, LLC Doing business as

Locations

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1295524106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST STE 100",
            "address_2": "BUILDING F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E FM 1626 STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486035",
            "telephone_number": "512-989-6336",
            "fax_number": "512-614-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FDA MEDICAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "PETIT",
        "authorized_official_first_name": "ANNELIS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "832-668-4334"
    },
    "taxonomies": [
        {
            "code": "2084P0301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain Injury Solutions, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brain Injury Medicine (Psychiatry & Neurology) Physician in Austin, TX
• Providers in Austin, TX by specialty
• Brain Injury Medicine (Psychiatry & Neurology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.