The Brain Center of Colorado

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

NLC.0013119 Issued in CO

Legal business name

THE BRAIN CENTER OF COLORADO

Practice address

404 Jerry St
Castle Rock, CO 80104-2468

Phone

(719) 452-9808

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Robert Whirl Jr., CHT

Title

Owner

Phone

(719) 452-9808

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1477924728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 MISSION HILL WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213238",
            "telephone_number": "719-452-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 JERRY ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042468",
            "telephone_number": "719-452-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRAIN CENTER OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "WHIRL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-452-9808",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CHT"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CO",
            "license": "NLC.0013119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Exclusive Provider Organization in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.