Individual provider Active NPI

Brian Eugene Emerson, CNIM, REEGT, REPT

  • EEG Technician
  • Dallas, TX
National Provider Identifier
1639371065
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG TechnicianTaxonomy code 2472E0500X
License
205
Practice address
25 Highland Park VLG Ste 100-225
Dallas, TX 75205-2789
Phone
(214) 460-2946
Fax
(214) 975-1312
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Technician 2472E0500X 205 Primary

Addresses

Primary practice location

25 Highland Park VLG Ste 100-225
Dallas, TX 75205-2789

Mailing address

25 Highland Park VLG Ste 100-225
Dallas, TX 75205-2789
Phone (214) 460-2946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1639371065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND PARK VLG STE 100-225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052789",
            "telephone_number": "214-460-2946",
            "fax_number": "214-975-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND PARK VLG STE 100-225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052789",
            "telephone_number": "214-460-2946",
            "fax_number": "214-975-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "BRIAN",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "CNIM, REEGT, REPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": "205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.