BRAINCARE, LLC (NPI# 1366985483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366985483 |
| Entity Type | Organization |
| Organization Name | BRAINCARE, LLC |
| Other Organization Name | GLOBAL NEURO-DIAGNOSTICS |
| Practice Address |
111 Sw 5th Ave Ste 3150 (unit 3142) Portland OR 97204-3604 |
| Mailing Address |
2670 Firewheel Dr Ste B Flower Mound TX 75028-4601 |
| Practice Telephone | 8668482522 |
| Practice Fax Number | 8772901544 |
| Mailing Telephone | 8668482522 |
| Mailing Fax Number | 8772901544 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | JANICE SHOCK (SR DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2145323757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Global Neuro-Diagnostics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598209538 | Braincare, LLC | Physiological Laboratory | 2355 Highway 36 W, Ste 400, Roseville, MN 55113-3902 | 2016-12-09 |
| 1700329828 | Braincare, LLC | Physiological Laboratory | 19909 120th Ave Ne Ste 203, Bothell, WA 98011-8242 | 2016-11-21 |
| 1316398787 | Braincare, LLC | Physiological Laboratory | 12301 Lake Underhill Rd Ste 201, Orlando, FL 32828-4511 | 2016-06-28 |
| 1982063921 | Braincare, LLC | Physiological Laboratory | 6165 Nw 86th St Ste 130, Johnston, IA 50131 | 2016-02-18 |
| 1255798815 | Braincare, LLC | Physiological Laboratory | S75w17311 Janesville Rd, Muskego, WI 53150-9376 | 2016-01-26 |
| 1184099046 | Braincare, LLC | Physiological Laboratory | 1320 Main St Ste 347, Columbia, SC 29201-3204 | 2015-12-03 |
| 1457725889 | Braincare, LLC | Physiological Laboratory | 401 N Tryon St, Ste 1120, Charlotte, NC 28202-2196 | 2015-11-23 |
| 1538532874 | Braincare, LLC | Physiological Laboratory | 1 Bio Logic Plz, Ste 1, Mundelein, IL 60060-3708 | 2015-11-09 |
| 1184026098 | Braincare, LLC | Physiological Laboratory | 303 N Stadium Blvd, Ste 249, Columbia, MO 65203-1493 | 2014-09-23 |
| 1457768715 | Braincare, LLC | Physiological Laboratory | 720 Corporate Cir, Ste A-6, Golden, CO 80401-5641 | 2014-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Braincare, LLC | 6701 Koll Center Pkwy Ste 120, Pleasanton, CA 94566-8061 |
| Oregon Corporations, Companies and Business Names | BRAINCARE, LLC | 111 Sw Fifth Ave, Office 3142, Portland, OR 97204 |
| Iowa Business Entities | BRAINCARE, LLC | 2670 Firewheel Dr Ste. B, Flower Mound, TX 75028 |
| Washington State Corporations | BRAINCARE, LLC | 19909 120th Ave Ne, Ste 203, Bothell, WA 98011-8256 |
| Alabama Business Registrations | Braincare, LLC | 420 20th Street North Ste 2256, Birmingham, AL 35203 |
| Street Address |
111 SW 5TH AVE STE 3150 (UNIT 3142) |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598908360 | Medius Medical Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 111 Sw 5th Ave, Suite 1100, Portland, OR 97204-3604 | 2009-04-09 |
| 1649558677 | Gniewosz Paul Kolba | Counselor | 111 Sw 5th Ave, Suite 3150, Portland, OR 97204-3604 | 2011-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578544342 | Echo Vision Inc | Physiological Laboratory | 2801 N Gantenbein Ave, Emanuel Hospital, Portland, OR 97227 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891213591 | Kevin Hoffman | Physiological Laboratory | 1001 Sw Emkay Dr, Bend, OR 97702-3663 | 2017-09-01 |
| 1801314620 | Trivek Health Solutions, Inc | Physiological Laboratory | 1001 Sw Emkay Dr Ste 100, Bend, OR 97702-3663 | 2017-08-31 |
| 1467881706 | Centersource Corporation | Physiological Laboratory | 2988 Nw Fairway Heights Dr, Bend, OR 97703-8334 | 2013-11-07 |
| 1295075125 | Clearview Mri LLC | Physiological Laboratory | 17885 Nw Evergreen Parkway, Suite 100, Beaverton, OR 97006 | 2013-03-01 |
| 1467601989 | Sleep Right Diagnostics LLC | Physiological Laboratory | 1023 Rio Glen Dr, Eugene, OR 97401-7803 | 2008-09-09 |
| 1891876546 | South Coast Radiologists | Physiological Laboratory | 2650 N 17th St, Coos Bay, OR 97420-2134 | 2006-10-18 |
| 1225306889 | Synergy Medical Systems, LLC | Physiological Laboratory | 2650 Suzanne Way, Suite 130, Eugene, OR 97408-7319 | 2011-12-09 |
| 1982984084 | New Schryver LLC | Physiological Laboratory | 17744 Ne San Rafael St, Gresham, OR 97230-5927 | 2011-08-19 |
| 1902090103 | Enhanced Medical Imaging of Coos Bay LLC | Physiological Laboratory | 2650 N 17th St, Coos Bay, OR 97420-2134 | 2007-08-30 |
| 1538107941 | Bridgeport Mri LLC | Physiological Laboratory | 15755 Sw Sequoia Pkwy, Suite 100, Tigard, OR 97224-7166 | 2006-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.