BRAINWIRE LLC


Address: 128 Keeneland Ln, Lafayette, LA 70503-6213
Phone: 3377397037

BRAINWIRE LLC (NPI# 1548826803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1013132323 01

Office Location

Street Address 128 KEENELAND LN
City LAFAYETTE
State LA
Zip Code 70503-6213

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1972147346 Ryan Christopher Winters Counselor 143 Ridgeway Dr., Lafayette, LA 70503 2019-10-29
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1770041295 Karen R Rue Registered Nurse 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 2019-03-04
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City LAFAYETTE
Zip Code 70503

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Dataset Information

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.

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