BRAINWIRE LLC (NPI# 1548826803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548826803 |
Entity Type | Organization |
Organization Name | BRAINWIRE LLC |
Practice Address |
128 Keeneland Ln Lafayette LA 70503-6213 |
Practice Telephone | 3377397037 |
Enumeration Date | 2019-05-13 |
Last Update Date | 2019-05-13 |
Authorized Official Name | DR. ADAM FOREMAN (OWNER) |
Authorized Official Telephone | 3377397037 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NPI | 1013132323 | 01 |
Street Address |
128 KEENELAND LN |
City | LAFAYETTE |
State | LA |
Zip Code | 70503-6213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
Find all providers in zip 70503 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518385137 | Jonathan Kahn Jones | Psychiatry & Neurology | 4809 Ambassador Caffery Pkwy Ste 420, Lafayette, LA 70508-8802 | 2014-04-01 |
1114248994 | Stanley George Strauss | Psychiatry & Neurology | 2383 Lavender Hill Ln, Lafayette, CO 80026-9387 | 2010-06-16 |
1982806402 | Khaled Hammoud | Psychiatry & Neurology | 975 Mezzanine Dr Ste C, Lafayette, IN 47905-8635 | 2007-06-05 |
1104033992 | Damon Patterson | Psychiatry & Neurology | 136 Hospital Dr, Lafayette, LA 70503-2819 | 2007-05-17 |
1790815322 | Albert C Lee | Psychiatry & Neurology | 3731 Rome Dr, A, Lafayette, IN 47905-4490 | 2007-03-06 |
1649332248 | Lafayette Health Ventures, Inc. | Psychiatry & Neurology | 155 Hospital Dr., Ste #208, Lafayette, LA 70503 | 2006-12-14 |
1073531257 | Samuel Horton | Psychiatry & Neurology | 3750 Landmark Dr, Suite A, Lafayette, IN 47905-6633 | 2006-07-17 |
1154383313 | Wael Alabdulkarim | Psychiatry & Neurology | 1144 Coolidge Blvd Ste F, Lafayette, LA 70503-2622 | 2006-04-04 |
1063485936 | Ernest Edward Nitka | Psychiatry & Neurology | 300 Exempla Cir, Suite 230, Lafayette, CO 80026-3397 | 2006-02-09 |
1669443461 | Arthur D Rosen | Psychiatry & Neurology | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2006-01-30 |
Find all providers in LAFAYETTE |
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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.