BRAIN PERFORMANCE CENTERS LLC NPI 1902208416

NPI Information

NPI: 1902208416
Provider Name: BRAIN PERFORMANCE CENTERS, LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
6840 E BROWN RD STE 104
MESA, AZ
ZIP 85207
Phone: (480) 719-8080
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BRAIN PERFORMANCE CENTERS, LLC is a rehabilitation clinic center in Mesa, AZ. BRAIN PERFORMANCE CENTERS, LLC NPI is 1902208416. The provider is registered as an organization entity type.

The provider's business location address is:

6840 E BROWN RD STE 104
MESA, AZ
ZIP 85207-759
Phone: (480) 719-8080
Fax: (480) 981-8595

The provider's authorized official is John Scott Davis .
The authorized official title is Member/manager and has the following contact phone number (480) 678-0872.

The enumeration date for this NPI number is 9/16/2014 and was last updated on 5/7/2020.

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	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	2478	ARIZONA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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