GLOBAL BRAIN EEG LLC NPI 1053859884

NPI Information

NPI: 1053859884
Provider Name: GLOBAL BRAIN EEG, LLC
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address: 521 W SOUTHLAKE BLVD STE 150
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 328-3000

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NPI Details

GLOBAL BRAIN EEG, LLC is a physiological laboratory in Southlake, TX. The provider is 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. GLOBAL BRAIN EEG, LLC NPI is 1053859884. The provider is registered as an organization entity type.

The provider's business location address is:

521 W SOUTHLAKE BLVD STE 150
SOUTHLAKE, TX
ZIP 76092-174
Phone: (817) 328-3000
Fax: (817) 328-3333

The provider's authorized official is Gary L Hollingsworth .
The authorized official title is Ceo and has the following contact phone number (817) 328-3000.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Measurement of brain wave activity with video (veeg), 12-26 hours with continuous monitoring (HCPCS:95716)
Measurement of brain wave activity (eeg), awake and drowsy (HCPCS:95816)
Measurement of brain wave activity (eeg), continuous (HCPCS:95700)

The enumeration date for this NPI number is 1/31/2017 and was last updated on 7/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QH0100X	Clinic/Center	Health Service	No
2	261QM2500X	Clinic/Center	Medical Specialty	No
3	293D00000X	Physiological Laboratory		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	409761001	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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