| Brainstim Llc | |
|
4413 Corunna Rd Uppr Level Flint MI 48532-4359 | |
| (248) 613-9584 | |
| Not Available |
| Full Name | Brainstim Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4413 Corunna Rd Uppr Level, Flint, Michigan |
| Authorized Official Name and Position | Christopher Shepard (FOUNDER/CEO) |
| Authorized Official Contact | 2486139584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainstim Llc 1845 Flowers Crossing Dr Ne Grand Rapids MI 49525-9541 Ph: () - | Brainstim Llc 4413 Corunna Rd Uppr Level Flint MI 48532-4359 Ph: (248) 613-9584 |
| NPI Number | 1841840220 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 09/17/2019 |
| Medicare PECOS PAC ID | 9537593181 |
|---|---|
| Medicare Enrollment ID | O20200107002260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841840220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Nikhil K Vora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043244411 PECOS PAC ID: 1052209079 Enrollment ID: I20040310000177 |
| Provider Name | Gilbert A Masterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497740930 PECOS PAC ID: 3375635006 Enrollment ID: I20070824000761 |
| Provider Name | Puneet Singla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558596429 PECOS PAC ID: 5799944666 Enrollment ID: I20121119000212 |
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