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1770064552 NPI number — BRAIN AND STROKE CARE

NPI Number: 1770064552
Health Care Provider/Practitioner: BRAIN AND STROKE CARE

Information about “1770064552” NPI (BRAIN AND STROKE CARE) exists in 1770064552 in HTML format HTML  |  1770064552 in plain Text format TXT  |  1770064552 in PDF (Portable Document Format) PDF  |  1770064552 in an XML format XML  formats.

NPI Number : 1770064552 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770064552",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BRAIN AND STROKE CARE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2900 FELICIA ST STE 103",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NASHVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37209-4043",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-450-6758",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2900 FELICIA ST STE 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NASHVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37209-4043",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-450-6758",
    "PracticeLocationAddressFaxNumber": "908-282-3384",
    "EnumerationDate": "08/28/2018",
    "LastUpdateDate": "06/19/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MEHTA",
    "AuthorizedOfficialFirstName": "SRAVANI",
    "AuthorizedOfficialMiddleName": "VENKATA ANJANA",
    "AuthorizedOfficialTitle": "PHYSICIAN",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "615-450-6758",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2081P0301X",
          "TaxonomyName": "Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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