Organization Active NPI

Brainhealth LLC

  • EEG Specialist/Technologist
  • Dunedin, FL
National Provider Identifier
1366041824
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG Specialist/TechnologistTaxonomy code 246ZE0500X
Legal business name
BRAINHEALTH LLC
Practice address
585 Main St Ste 101
Dunedin, FL 34698-4921
Phone
(941) 350-9223
NPI assigned
Oct 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Authorized official

Name
Mr. Philip Hibnick, MHA, BCIANPI 1861966699
Title
Manager
Phone
(941) 350-9223

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
EEG Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0500X Primary

Addresses

Primary practice location

585 Main St Ste 101
Dunedin, FL 34698-4921

Mailing address

2840 W Bay Dr Unit 306
Belleair Bluffs, FL 33770-2620
Phone (941) 350-9223

National Provider Directory

National Provider Directory

Locations

2840 West Bay Dr
Belleair Bluffs, FL 33770
Phone (727) 409-0173

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603584000000",
    "number": "1366041824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 W BAY DR UNIT 306",
            "city": "BELLEAIR BLUFFS",
            "state": "FL",
            "postal_code": "337702620",
            "telephone_number": "941-350-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MAIN ST STE 101",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984921",
            "telephone_number": "941-350-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A",
        "authorized_official_last_name": "HIBNICK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-350-9223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA, BCIA"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.