Brain Injury Association of NH

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

03055 Issued in NH

Legal business name

BRAIN INJURY ASSOCIATION OF NH

Practice address

109 N State St
Concord, NH 03301-4358

Phone

(603) 225-8400

Fax

(603) 228-6749

NPI assigned

Mar 21, 2008

Last updated

Mar 21, 2008By 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

Mr. Steven Wade, MBA

Title

Executive Director

Phone

(603) 225-8400

Specialties & licenses 1

Addresses

Other names 1

• National Head Injury Foundation NH Chapter Former legal business name

Locations

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1669643300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014358",
            "telephone_number": "603-225-8400",
            "fax_number": "603-228-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014358",
            "telephone_number": "603-225-8400",
            "fax_number": "603-228-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN INJURY ASSOCIATION OF NH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-225-8400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NH",
            "license": "03055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Head Injury Foundation NH Chapter",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Janie Ann Boyle, MS, ARNP
• Aly Bradley, BA
• Dennis P. Bradley, MA, LMHC, BCBA
• Joseph J Bradley, MD
• Peter S Bradley, MD
• Eileen Rose Brandes, MD
• Lucas John Brandt
• Kate Branham, BCBA
• Brave Sparrow Counseling, LLC
• Jennifer Zoufaly Brayton, BCBA, LBA

• Case Management Agency in Concord, NH
• Providers in Concord, NH by specialty
• Case Management Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.