Brain Assist, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

BRAIN ASSIST, PA

Practice address

5005 W Royal LN
Suite 196
Irving, TX 75063-1959

Phone

(817) 485-5100

Fax

(817) 485-5101

NPI assigned

Jul 15, 2014

Last updated

Nov 21, 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

Charles C Neff

Title

Director

Phone

(817) 485-5100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1629485370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 CYPRESS WATERS BLVD",
            "address_2": "SUITE 190",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "750194621",
            "telephone_number": "817-485-5100",
            "fax_number": "817-485-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 W ROYAL LN",
            "address_2": "SUITE 196",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750631959",
            "telephone_number": "817-485-5100",
            "fax_number": "817-485-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN ASSIST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "NEFF",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-485-5100"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Irving, TX
• Providers in Irving, 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 Nov 21, 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.