Organization Active NPI

Brain Science Technologies Inc

  • EEG Specialist/Technologist
  • Irvine, CA
National Provider Identifier
1649655143
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG Specialist/TechnologistTaxonomy code 246ZE0500X
License
150001721 Issued in CA
Legal business name
BRAIN SCIENCE TECHNOLOGIES INC
Practice address
4482 Barranca Pkwy Ste 240
Irvine, CA 92604-4770
Phone
(949) 333-1682
Fax
(949) 333-5086
NPI assigned
Jul 25, 2015
Last updated
Dec 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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

Authorized official

Name
Brad LevyNPI 1497138689
Title
Owner
Phone
(310) 666-7484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Specialist/Technologist 246ZE0500X 150001721 CA Primary

Addresses

Primary practice location

4482 Barranca Pkwy Ste 240
Irvine, CA 92604-4770

Mailing address

4482 Barranca Pkwy Ste 240
Irvine, CA 92604-4770
Phone (949) 333-1682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151201002039 CA Part B Supplier - Clinic/Group Practice 0042510083 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA
O20200528003243 FL Part B Supplier - Clinic/Group Practice 0042510083 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

4482 Barranca Pkwy
Ste 240
Irvine, CA 92604
Phone (949) 333-1682

2340 Dairy Rd
Ste 104
West Melbourne, FL 32904
Phone (321) 327-5952

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734220800000",
    "number": "1649655143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044770",
            "telephone_number": "949-333-1682",
            "fax_number": "949-333-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044770",
            "telephone_number": "949-333-1682",
            "fax_number": "949-333-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN SCIENCE TECHNOLOGIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-25",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-666-7484"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "CA",
            "license": "150001721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.