BRAIN WAVE SOLUTION ALABAMA LLC (NPI# 1780109892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780109892 |
| Entity Type | Organization |
| Organization Name | BRAIN WAVE SOLUTION ALABAMA LLC |
| Practice Address |
102 Medical Center Dr Ste D Prattville AL 36066-7286 |
| Mailing Address |
Po Box 6205 Montgomery AL 36106-0205 |
| Practice Telephone | 3343960201 |
| Mailing Telephone | 3343960201 |
| Mailing Fax Number | 3343960210 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |
| Authorized Official Name | ROSA J BELL (OWNER) |
| Authorized Official Telephone | 3343960201 |
| 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 |
| Street Address |
102 MEDICAL CENTER DR STE D |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36066-7286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558841379 | Prattville Heart Center LLC | Specialist | 102 Medical Center Dr Ste D, Prattville, AL 36066-7286 | 2018-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
| 1265805550 | Alabama Dental Professionals, PC | Dentist | 2489 Cobbs Ford Road, Prattville, AL 36066 | 2015-11-09 |
| 1407243645 | Drayer Physical Therapy-alabama, LLC | Physical Therapist | 2703 Legends Parkway, Prattville, AL 36066 | 2015-04-24 |
| 1225396203 | Kristin Taylor | Occupational Therapist | 635 Mcqueen Smith Road, Suite D, Prattville, AL 36066 | 2012-04-27 |
| 1164796959 | Glynwood Park Dental Care | Dentist | 1831 Glynwood Drive, Prattville, AL 36066 | 2012-02-27 |
| 1790068757 | Jason Duane Weaver | Physical Therapist | 1824 Glynwood Drive, Prattville, AL 36066 | 2011-09-26 |
| 1982931499 | Health Star Inc | Chiropractor | 2441 Cobbs Ford Road, Prattville, AL 36066 | 2009-11-05 |
| 1023101698 | Drs. Tatum and Walker, L.L.C. | Dentist | 597 South Memorial Drive, Prattville, AL 36066 | 2006-10-02 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1407860380 | Robert Allen Avery | Internal Medicine | 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066 | 2006-07-28 |
| Find all providers in zip 36066 | ||||
| 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 |
|---|---|---|---|---|
| 1104211903 | James Rini | Psychiatry & Neurology | 2451 Fillingim St Ste 10-f, Mobile, AL 36617-2238 | 2015-03-30 |
| 1750790838 | Mohammad Junaid Humayun | Psychiatry & Neurology | 1719 6th Avenue South, Birmingham, AL 35294-2547 | 2014-08-04 |
| 1376951145 | Sanath B Kasi Reddy | Psychiatry & Neurology | 2065 E South Blvd Ste 301, Montgomery, AL 36116-2458 | 2014-07-24 |
| 1033531637 | Sykes Neurology PC | Psychiatry & Neurology | 52 Medical Park Dr E Ste 320, Birmingham, AL 35235-3441 | 2014-01-16 |
| 1275961468 | Chandra Gehi, M.d. | Psychiatry & Neurology | 1 Bradford Pl, Anniston, AL 36207-1003 | 2013-10-24 |
| 1053745778 | Bhc-walker Neurology | Psychiatry & Neurology | 3400 Us Highway 78 E, Medical Arts Tower, Suite 311, Jasper, AL 35501-8951 | 2013-08-29 |
| 1922448042 | Eric Jonathan Jenkie | Psychiatry & Neurology | 1120 S Jackson Hwy Ste 201, Sheffield, AL 35660-5770 | 2013-07-03 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1730524919 | Kasha Elizabeth Benton | Psychiatry & Neurology | 201 Governors Dr Sw Ste 420, Huntsville, AL 35801 | 2013-05-01 |
| 1801163506 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 1865 Honeysuckle Rd Ste 3, Dothan, AL 36305-4287 | 2011-11-23 |
| Find all providers with the same taxonomy | ||||
| City | PRATTVILLE |
| Zip Code | 36066 |
Please comment or provide details below to improve the information on BRAIN WAVE SOLUTION ALABAMA LLC.
| 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.