TRAUMATIC BRAIN DIAGNOSTIC, LLC – NPI #1003431396
Psychiatry & Neurology

A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

TRAUMATIC BRAIN DIAGNOSTIC, LLC is a psychiatry & neurologist located in TRINITY, FL. NPPES has assigned the NPI number 1003431396 to TRAUMATIC BRAIN DIAGNOSTIC, LLC on June 11, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0301X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Brain Injury Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRAUMATIC BRAIN DIAGNOSTIC, LLC below.

NPI Profile for
TRAUMATIC BRAIN DIAGNOSTIC, LLC

NPI Number
1003431396
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRAUMATIC BRAIN DIAGNOSTIC, LLC
Primary location
1814 WELLNESS LN
TRINITY, FL 34655-5357
Phone: (813) 450-8989 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CAROLINE ADAMS
ACCOUNT ADMINISTRATOR
Phone: (727) 203-1023
Updated
Certification Date
Jun 11, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0301X
- Psychiatry & Neurology / Brain Injury Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.