Organization Active NPI

Nexus Diagnostics

  • EEG Specialist/Technologist
  • Boca Raton, FL
National Provider Identifier
1861028854
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG Specialist/TechnologistTaxonomy code 246ZE0500X
Legal business name
NEXUS DIAGNOSTICS
Practice address
915 Clint Moore Rd
Boca Raton, FL 33487-2802
Phone
(954) 849-4648
NPI assigned
Mar 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Mr. Trent Broers
Title
Owner
Phone
(954) 849-4648

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204R00000X
EEG Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0500X Primary
Clinic/Center 261Q00000X
Mobile Radiology Clinic/Center 261QR0208X
Physiological Laboratory 293D00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Addresses

Primary practice location

915 Clint Moore Rd
Boca Raton, FL 33487-2802

Mailing address

915 Clint Moore Rd
Boca Raton, FL 33487-2802

Other practice location 1

701 Commerce St Ste 626
Dallas, TX 75202-4522
Phone (561) 409-1483

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Taylor@nexusneuro.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20210309001510 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8022428101 Practice locations: Boca Raton, FL
O20210325000268 NV Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8022428101 Practice locations: Las Vegas, NV
O20230717000042 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8022428101 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

1516 E Tropicana Ave
Ste 237
Las Vegas, NV 89119
Phone (702) 262-5566

Interoperability endpoints

  • Direct secure messaging: taylor@nexusneuro.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1861028854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CLINT MOORE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 CLINT MOORE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872802",
            "telephone_number": "954-849-4648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Commerce St Ste 626",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752024522",
            "country_code": "US",
            "telephone_number": "561-409-1483",
            "fax_number": "561-258-8154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEXUS DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-21",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "BROERS",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-849-4648",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Taylor@nexusneuro.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "915 Clint Moore Rd",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.