MEDICARE: BRAIN AND STROKE CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	2081P0301X	Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	56005	OTHER	TN	TN LICENSE

General Provider Information

NPI Number	:	1770064552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRAIN AND STROKE CARE

Provider Business Mailing Address
First Line	:	2900 FELICIA ST STE 103
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-4043
Country	:	US
Telephone Number	:	615-450-6758
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 FELICIA ST STE 103
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-4043
Country	:	US
Telephone Number	:	615-450-6758
Fax Number	:	908-282-3384

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. SRAVANI VENKATA ANJANA MEHTA
Credential	:	MD
Telephone Number	:	615-450-6758

Provider Enumeration Date	:	08/28/2018
Last Update Date	:	06/19/2020

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Directions to “BRAIN AND STROKE CARE ” Practice Location

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