NPI 1780109892 · live from the CMS NPI Registry
Brain Wave Solution Alabama LLC
Psychiatry & Neurology, Neurology in Prattville, AL. National Provider Identifier 1780109892, active.
NPI record
| NPI | 1780109892 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 102 Medical Center Dr Ste D, Prattville, AL 36066 |
| Practice phone | 334-396-0201 |
| Mailing address | Po Box 6205, Montgomery, AL 36106 |
| Enumerated | August 9, 2017 |
| Last updated | August 9, 2017 |
| Authorized official | Rosa Bell, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.