Brain Waves , PA

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

License

K1194 Issued in TX

Legal business name

BRAIN WAVES , PA

Practice address

2911 Turtle Creek Blvd Ste 450
Dallas, TX 75219-6290

Phone

(214) 755-2742

NPI assigned

Oct 30, 2017

Organization subpart

No

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

Authorized official

Name

Brian Kevin Flanagan, MD

Title

Authorized Official/Provider

Phone

(214) 755-2742

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1831601905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 TURTLE CREEK BLVD STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752196290",
            "telephone_number": "214-755-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 TURTLE CREEK BLVD STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752196290",
            "telephone_number": "214-755-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN WAVES , PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/PROVIDER",
        "authorized_official_telephone_number": "214-755-2742",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": "TX",
            "license": "K1194",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K1194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Robert Bragonje, CRNA
• Meghaben Brahmbhatt, PT
• Sneha Brahmbhatt, DDS
• Zachary Mayank Brahmbhatt, MD
• Brain Performance Center
• Brainbridge Psychological and Behavioral Health
• Brainwave Diagnostic LLC
• Alycia Braithwaite, PA-C
• Dan Brajtbord, M.D.
• Braken Group, LLP

• Electrodiagnostic Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Electrodiagnostic Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.