Braincare, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

BRAINCARE, LLC

Doing business as

Global Neuro-Diagnostics

Practice address

2355 Highway 36 W
Ste 400
Roseville, MN 55113-3902

Phone

(866) 848-2522

Fax

(877) 290-1544

NPI assigned

Dec 9, 2016

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

(214) 532-3757

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": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1598209538",
    "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": "2355 HIGHWAY 36 W",
            "address_2": "STE 400",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133902",
            "telephone_number": "866-848-2522",
            "fax_number": "877-290-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "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": "214-532-3757"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Global Neuro-Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Lynn Bracken, BCBA
• Carissa Kay Bradley
• Kevin E Bradt, LADC
• Brian Bradway, PA-C
• Brain Injury Association of Minnesota
• Michael Anthony Branchaud, LPC
• Breakthrough Medical Supply Inc
• Grant Tyler Brekken, CRNA
• Bright Future Therapy Inc
• Bright Futures Homecare LLC

• Physiological Laboratory in Roseville, MN
• Providers in Roseville, MN by specialty
• Physiological Laboratory in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.