NPIMap

Organization Active NPI

Mybraindr LLC

  • Health Service Clinic/Center
  • Raleigh, NC
National Provider Identifier
1881210128
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MYBRAINDR LLC
Practice address
8388 Six Forks Rd Ste 101
Raleigh, NC 27615-2958
Phone
(919) 721-4800
NPI assigned
Jun 23, 2020
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Robert BaricNPI 1336128503
Title
President
Phone
(919) 721-4800

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)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

8388 Six Forks Rd Ste 101
Raleigh, NC 27615-2958

Mailing address

8388 Six Forks Rd Ste 101
Raleigh, NC 27615-2958
Phone (919) 721-4800

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Medicfusion

National Provider Directory

National Provider Directory

Locations

270 Cornerstone Dr
Ste 102
Cary, NC 27519

8388 Six Forks Rd
#101
Raleigh, NC 27615
Phone (919) 721-4800

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1881210128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8388 SIX FORKS RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152958",
            "telephone_number": "919-721-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8388 SIX FORKS RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152958",
            "telephone_number": "919-721-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYBRAINDR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "BARIC",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-721-4800"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Medicfusion",
            "affiliation": "N",
            "address_1": "270 Cornerstone Dr Ste 101",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275198400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.