Global Brain Eeg

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

GLOBAL BRAIN EEG

Practice address

521 W Southlake Blvd Ste 100
Southlake, TX 76092-6173

Phone

(817) 328-3000

Fax

(817) 328-3333

NPI assigned

Jun 23, 2017

Last updated

Jul 21, 2022By 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

Heidi Denise Hollingsworh

Title

Owner

Phone

(817) 798-7763

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568982148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926173",
            "telephone_number": "817-328-3000",
            "fax_number": "817-328-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926173",
            "telephone_number": "817-328-3000",
            "fax_number": "817-328-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL BRAIN EEG",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORH",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-798-7763"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg L Gist, DDS
• Todd Allen Gjerdevig, LCSW
• Global Anesthesia Specialists, PLLC
• Global Brain Center Uddin PLLC
• Global Brain Center,LLC
• Global Brain Eeg, LLC
• Global Open Wound Care PLLC
• Melanie Lynn Gloede
• GMC Medical, PLLC
• Swapna Goday, MD

• Physiological Laboratory in Southlake, TX
• Providers in Southlake, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.