Active NPI
Nexus Diagnostics
- EEG Specialist/Technologist
- Boca Raton, FL
National Provider Identifier
1861028854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- EEG Specialist/Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | |||
| EEG Specialist/Technologist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Taylor@nexusneuro.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NV, TX
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
1516 E Tropicana Ave
Ste 237
Las Vegas, NV 89119
Phone (702) 262-5566
Interoperability endpoints
- 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.
-
- Epilepsy Physician
- Boca Raton, FL
- NPI 1174563688
-
- Neurology Physician
- Austin, TX
- NPI 1013275304
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.