Brain Treatment Center North Austin, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRAIN TREATMENT CENTER NORTH AUSTIN, PLLC

Practice address

2261 Gattis School Rd Ste 105
Round Rock, TX 78664-2880

Phone

(832) 880-5052

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Michael DO

Title

Managing Member

Phone

(408) 887-7890

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1750062816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 GATTIS SCHOOL RD STE 105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642880",
            "telephone_number": "832-880-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 GATTIS SCHOOL RD STE 105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642880",
            "telephone_number": "832-880-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN TREATMENT CENTER NORTH AUSTIN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "408-887-7890"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Lynn Bradford, CPNP
• Brooke Michelle Bradley
• Tommie Maria Bradley, RBT
• Kristen Lee Nelson Bradshaw, M.A, CCC-SLP
• Megan Carroll Brady, PA-C
• Meredith Lynn Brand, MA, SLP
• Hailey Brandell
• Charles Branham
• Jessica Braxton, PTA
• Rick Breland, MA, LPC

• Community/Behavioral Health Agency in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.