Active NPI
Neuralectric
- Electroneurodiagnostic Specialist/Technologist
- Berkeley, CA
National Provider Identifier
1699430330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- NEURALECTRIC
- Practice address
- 2930 Domingo Ave Ste 529
Berkeley, CA 94705-2454 - Phone
- (971) 226-6108
- NPI assigned
- Nov 8, 2021
- Last updated
- Nov 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Bridenbeck, CNIM, R. EEG. T
- Title
- Manager
- Phone
- (971) 226-6108
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
2930 Domingo Ave Ste 529
Berkeley, CA 94705-2454
Mailing address
2930 Domingo Ave Ste 529
Berkeley, CA 94705-2454
Phone (971) 226-6108
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Electroneurodiagnostic Specialist/Technologist
- El Dorado Hills, CA
- NPI 1902444714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636329600000",
"number": "1699430330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 DOMINGO AVE STE 529",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052454",
"telephone_number": "971-226-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 DOMINGO AVE STE 529",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052454",
"telephone_number": "971-226-6108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURALECTRIC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-08",
"last_updated": "2021-11-08",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "BRIDENBECK",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "971-226-6108",
"authorized_official_credential": "CNIM, R. EEG. T"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.