Braincare, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

BRAINCARE, LLC

Doing business as

Global Neuro-Diagnostics

Practice address

101 Federal St
Ste 1900
Boston, MA 02110-1817

Phone

(866) 848-2522

Fax

(877) 290-1544

NPI assigned

Apr 20, 2016

Last updated

Apr 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janice Shock

Title

Sr Director of Operations

Phone

(866) 848-2522

Specialties & licenses 1

Addresses

Other names 1

• Global Neuro-Diagnostics Doing business as

Locations

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1538513106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 FIREWHEEL DR",
            "address_2": "STE B",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750284601",
            "telephone_number": "866-848-2522",
            "fax_number": "877-290-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FEDERAL ST",
            "address_2": "STE 1900",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101817",
            "telephone_number": "866-848-2522",
            "fax_number": "877-290-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "SHOCK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "SR DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "866-848-2522"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Global Neuro-Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Brailey, PH.D.
• Ian R Brain, M.D.
• Jessie Margaret Brain, MSN, FNP-C, ACHPN
• Maura Moran Brain, MS, RNC
• Diana Marina Brainard, MD
• Michelle L. Brait, LICSW
• Kamilah Shakura Braithwaite, EMT
• Douglas James Brajcich Jr., DMD
• Maame Yaa Owusua Brako, MD
• Cynthia C Bramble Daley, LICSW

• Physiological Laboratory in Boston, MA
• Providers in Boston, MA by specialty
• Physiological Laboratory in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.