Active NPI
Brainmatters Neurology PLLC
- Neurology Physician
- Jacksonville, NC
National Provider Identifier
1407662455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- BRAINMATTERS NEUROLOGY PLLC
- Practice address
- 3391 Henderson Dr
Jacksonville, NC 28546-5231 - Phone
- (910) 333-0026
- Fax
- (800) 759-6517
- NPI assigned
- Dec 4, 2024
- Last updated
- Mar 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sasidharan Taravath
- Title
- President/Ceo
- Phone
- (910) 333-0026
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | Primary |
Addresses
Primary practice location
3391 Henderson Dr
Jacksonville, NC 28546-5231
Mailing address
3391 Henderson Dr
Jacksonville, NC 28546-5231
Phone (910) 333-0026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Jacksonville, NC
- NPI 1851353718
-
- Family Nurse Practitioner
- Fayetteville, NC
- NPI 1184985335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772841600000",
"number": "1407662455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3391 HENDERSON DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285465231",
"telephone_number": "910-333-0026",
"fax_number": "800-759-6517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3391 HENDERSON DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285465231",
"telephone_number": "910-333-0026",
"fax_number": "800-759-6517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAINMATTERS NEUROLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-04",
"last_updated": "2026-03-07",
"certification_date": "2026-03-07",
"status": "A",
"authorized_official_last_name": "TARAVATH",
"authorized_official_first_name": "SASIDHARAN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "910-333-0026"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; 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.