The Brain and Body Health Institute, P.a.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

P5901 Issued in TX

Legal business name

THE BRAIN AND BODY HEALTH INSTITUTE, P.A.

Practice address

3207 R R 620 South
Suite B
Lakeway, TX 78738-6872

Phone

(512) 981-5801

Fax

(512) 857-6920

NPI assigned

Nov 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Robert W Van Boven, M.D., D.D.S.

Title

President/Ceo

Phone

(512) 981-5801

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1679979223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 R R 620 SOUTH",
            "address_2": "SUITE B",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787386872",
            "telephone_number": "512-981-5801",
            "fax_number": "512-857-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 R R 620 SOUTH",
            "address_2": "SUITE B",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787386872",
            "telephone_number": "512-981-5801",
            "fax_number": "512-857-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRAIN AND BODY HEALTH INSTITUTE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "VAN BOVEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "512-981-5801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.D.S."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P5901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.