Brain Sentinel Diagnostic Services

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

BRAIN SENTINEL DIAGNOSTIC SERVICES

Practice address

8023 Vantage Dr Ste 216
San Antonio, TX 78230-4790

Phone

(855) 275-5424

NPI assigned

Mar 6, 2018

Organization subpart

Yes

Parent organization

BRAIN SENTINEL INCAs reported in NPPES

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

Authorized official

Name

Leann Williams

Title

VP of Diagnostic Services and Clini

Phone

(855) 275-5424

Specialties & licenses 1

Addresses

Other names 1

• Brain Sentinel Inc Former legal business name

Locations

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1407358435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 VANTAGE DR STE 216",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304790",
            "telephone_number": "855-275-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 VANTAGE DR STE 216",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304790",
            "telephone_number": "855-275-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN SENTINEL DIAGNOSTIC SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRAIN SENTINEL INC",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LEANN",
        "authorized_official_title_or_position": "VP OF DIAGNOSTIC SERVICES AND CLINI",
        "authorized_official_telephone_number": "855-275-5424"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain Sentinel Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nicole Ninette Braida, M.D.
• Brain & Spine of Texas, PLLC
• Brain Based Rehab, PLLC
• Brain Changers, LLC
• Brain Coach LLC
• Brainwork Speech and Rehab, PLLC
• Richard G Brake, PSY.D.
• Charles H Brakhage, PA-C
• Michelle Brakhage
• Laurie Louise Bram, COTA

• Electroneurodiagnostic Specialist/Technologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

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