Organization Active NPI

North Texas Institute of Neurology and Headache, PA

  • Neurology Physician
  • Plano, TX
National Provider Identifier
1669134631
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NORTH TEXAS INSTITUTE OF NEUROLOGY AND HEADACHE, PA
Practice address
6201 Dallas Pkwy Ste 100
Plano, TX 75024
Phone
(972) 403-8184
Fax
(972) 403-0685
NPI assigned
Oct 7, 2021
Last updated
Oct 7, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH TEXAS INSTITUTE OF NEUROLOGY AND HEADACHEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Mr. Bryan Moises Brown
Title
Chief Operating Officer
Phone
(972) 453-1879

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X
Neurology Physician 2084N0400X Primary
Massage Therapist 225700000X
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X

Addresses

Primary practice location

6201 Dallas Pkwy Ste 100
Plano, TX 75024

Mailing address

5150 Warren Pkwy BLDG 8
Frisco, TX 75034-7462
Phone (972) 765-5638

Other names 1

  • New Plano Location Other name

National Provider Directory

National Provider Directory
Part of
North Texas Institute of Neurology and Headache PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1669134631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 WARREN PKWY BLDG 8",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347462",
            "telephone_number": "972-765-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 DALLAS PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-403-8184",
            "fax_number": "972-403-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS INSTITUTE OF NEUROLOGY AND HEADACHE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH TEXAS INSTITUTE OF NEUROLOGY AND HEADACHE",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "MOISES",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "972-453-1879",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Plano Location",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.