Organization Active NPI

Brain Angel ,LLC

  • Neurology Physician
  • Overland Park, KS
National Provider Identifier
1982597993
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BRAIN ANGEL ,LLC
Practice address
14713 Farley St
Overland Park, KS 66221-9670
Phone
(913) 749-2943
NPI assigned
May 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Rawan AlbadareenNPI 1659688646
Title
Ceo
Phone
(913) 749-2943

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

14713 Farley St
Overland Park, KS 66221-9670

Mailing address

14713 Farley St
Overland Park, KS 66221-9670
Phone (913) 749-2943

Other names 1

  • Rawan Albadareen Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250620002323 KS Part B Supplier - Clinic/Group Practice 4789196262 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1982597993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14713 FARLEY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662219670",
            "telephone_number": "913-749-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14713 FARLEY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662219670",
            "telephone_number": "913-749-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN ANGEL ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "ALBADAREEN",
        "authorized_official_first_name": "RAWAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-749-2943"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rawan Albadareen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.