Organization Active NPI

Braincare, LLC

  • Physiological Laboratory
  • Tulsa, OK
National Provider Identifier
1629343025
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
BRAINCARE, LLC
Practice address
7633 E 63Rd PL
Ste 300, Unit 309
Tulsa, OK 74133-1273
Phone
(866) 848-2522
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Mr. Steven Estes, R.EEGT, RPSGT, NCST
Title
Co-Owner
Phone
(866) 848-2522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

7633 E 63Rd PL
Ste 300, Unit 309
Tulsa, OK 74133-1273

Mailing address

2670 Firewheel Dr
Ste B
Flower Mound, TX 75028-4601
Phone (866) 848-2522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1629343025",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E 63RD PL",
            "address_2": "STE 300, UNIT 309",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331273",
            "telephone_number": "866-848-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "866-848-2522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.EEGT, RPSGT, NCST"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.