Individual provider Active NPI

Bryan Keith Heiskell, EP T, CNIMS

  • Electroneurodiagnostic Specialist/Technologist
  • Harlingen, TX
National Provider Identifier
1689018806
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
CNS4430 Issued in TX
Practice address
712 N 77 Sunshinestrip Ste 23
Harlingen, TX 78550-8897
Phone
(956) 216-7540
Fax
(956) 216-7542
NPI assigned
Apr 18, 2013
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X CNS4430 TX Primary

Addresses

Primary practice location

712 N 77 Sunshinestrip Ste 23
Harlingen, TX 78550-8897

Mailing address

PO Box 532620
Harlingen, TX 78553-2620
Phone (956) 216-7540

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

State licenses

LicenseStateTypeSpecialty
CNS4430TXMDElectroneurodiagnostic Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Neuro-Monitoring Services of Texas, LLC. Electroneurodiagnostic CurrentSince Aug 27, 2023 Accepting new patients
Dr Bah, LLC Electroneurodiagnostic PastSince Aug 27, 2023 Accepting new patients

Locations

1125 S Commerce St
Harlingen, TX 78550
Phone (956) 230-1851

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1689018806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532620",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785532620",
            "telephone_number": "956-216-7540",
            "fax_number": "956-216-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N 77 SUNSHINESTRIP STE 23",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508897",
            "telephone_number": "956-216-7540",
            "fax_number": "956-216-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISKELL",
        "first_name": "BRYAN",
        "middle_name": "KEITH",
        "credential": "EP T, CNIMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TX",
            "license": "CNS4430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.