Braincare, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

BRAINCARE, LLC

Practice address

12301 Lake Underhill Rd Ste 201
Orlando, FL 32828-4511

Phone

(866) 848-2522

Fax

(877) 290-1544

NPI assigned

Jun 28, 2016

Last updated

Mar 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janice Shock, R.EEGT / MBA

Title

Sr Director of Operations

Phone

(866) 848-2522

Specialties & licenses 1

Addresses

Locations

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.

• Sophos Georgio Geroulis, M.D.

  • Neurology Physician
  • Summit, WI
  • NPI 1295820637
  NPD (past)
• Morton I Hyson, MD.

  • Neurology Physician
  • LV, NV
  • NPI 1710915368
  NPD (past)

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1316398787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 FIREWHEEL DR",
            "address_2": "STE B",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750284601",
            "telephone_number": "866-848-2522",
            "fax_number": "877-290-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 LAKE UNDERHILL RD STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284511",
            "telephone_number": "866-848-2522",
            "fax_number": "877-290-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "SHOCK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "SR DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "866-848-2522",
        "authorized_official_credential": "R.EEGT / MBA"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brain & Mind Florida LLC
• Brain and Spine Instate for Children (Basic)
• Brain and Spine Institute for Children LLC
• Brain, Spine and Pain Institute of Lake Nona PLLC
• Meredith Brainard, ARNP
• Brainlogix Lab, LLC (CogniVita Center for Neuropsychology)
• Brian Alexander Braithwaite, M.D.
• Florence J Braithwaite
• Allon Jackob Braitman, RN
• Chantee Brakeville, AU.D., CCC-A

• Physiological Laboratory in Orlando, FL
• Providers in Orlando, FL by specialty
• Physiological Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.