Organization Active NPI

Dr. Brain, Inc

  • Neurology Physician
  • Metairie, LA
National Provider Identifier
1912356163
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD.025655 Issued in LA
Legal business name
DR. BRAIN, INC
Practice address
445 Helios Ave
Metairie, LA 70005-3241
Phone
(504) 836-2472
Fax
(504) 831-7429
NPI assigned
Jun 8, 2016
Last updated
Jun 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Sheryl Martin-Schild, MDNPI 1508044850
Title
Owner / Director
Phone
(504) 836-2472

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP.03322 LA
Neurology Physician 2084N0400X MD.025655 LA Primary

Addresses

Primary practice location

445 Helios Ave
Metairie, LA 70005-3241

Mailing address

445 Helios Ave
Metairie, LA 70005-3241
Phone (504) 836-2472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160916001312 LA Part B Supplier - Clinic/Group Practice 0941597041 Receives reassigned benefits from 8 practitioners
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

3525 Prytania St
New Orleans, LA 70115
Phone (504) 822-6653

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1912356163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HELIOS AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053241",
            "telephone_number": "504-836-2472",
            "fax_number": "504-831-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HELIOS AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053241",
            "telephone_number": "504-836-2472",
            "fax_number": "504-831-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRAIN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN-SCHILD",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "504-836-2472",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP.03322",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "MD.025655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.