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Contact Information

BRAINCARE, LLC
401 N TRYON ST
STE 1120
CHARLOTTE, NC28202-2196
 Phone: 866-848-2522
 Fax: 877-290-1544
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
 

Portable Xray Supplier

335V00000X 63 Portable X-Ray Supplier
Indicates primary specialty

NPI Profile & details for BRAINCARE, LLC

NPI # 1457725889
LBN Legal business name BRAINCARE, LLC
Authorized official JANICE SHOCK - (SR DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 11/23/2015
Last updated 12/01/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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