Brain Assist, 20

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

BRAIN ASSIST, 20

Practice address

2205 Graystone
Keller, TX 76248-8362

Phone

(682) 693-7774

NPI assigned

Aug 22, 2017

Organization subpart

No

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

Authorized official

Name

Thomas Ellis

Title

President

Phone

(682) 693-7774

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1497271381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 GRAYSTONE",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762488362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 GRAYSTONE",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762488362",
            "telephone_number": "682-693-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN ASSIST, 20",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "682-693-7774"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadie Elizabeth Bolton, MA., BCBA, LBA
• Sylvia C Bonniwell, CLC
• Stephanie Bowles
• Caitlyn Boyd
• Sidney Rose Brady
• Sara Brantley
• Hallie Bratcher
• Braveheart Equine Assisted Therapy
• Delia Simone Breedlove
• Brent Cornelius DDS PA

• Surgical Physician Assistant in Keller, TX
• Providers in Keller, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.