Brieze Neuromonitoring, LLC.

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

BRIEZE NEUROMONITORING, LLC.

Practice address

206 Queen Marie CT
Upper Marlboro, MD 20774-8818

Phone

(972) 567-7462

NPI assigned

Jul 23, 2019

Organization subpart

No

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

Authorized official

Name

Tonya Gilliam

Title

Director of Billing and Coding

Phone

(972) 632-6877

Specialties & licenses 2

Addresses

Other names 2

• Brieze Neuromonitoring Doing business as
• Brieze Neuromonitoring, LLC Doing business as

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1427601046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 QUEEN MARIE CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 QUEEN MARIE CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748818",
            "telephone_number": "972-567-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIEZE NEUROMONITORING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING AND CODING",
        "authorized_official_telephone_number": "972-632-6877"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brieze Neuromonitoring",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brieze Neuromonitoring, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Electroneurodiagnostic Specialist/Technologist in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Electroneurodiagnostic Specialist/Technologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.