| Brainstim Llc | |
|
847 Parchment Dr Se Ste 120 Grand Rapids MI 49546-2377 | |
| (616) 913-8441 | |
| Not Available |
| Full Name | Brainstim Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 847 Parchment Dr Se Ste 120, Grand Rapids, 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 847 Parchment Dr Se Ste 120 Grand Rapids MI 49546-2377 Ph: (616) 913-8441 | Brainstim Llc 847 Parchment Dr Se Ste 120 Grand Rapids MI 49546-2377 Ph: (616) 913-8441 |
| NPI Number | 1841840220 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 06/13/2025 |
| Certification Date | 06/13/2025 |
| 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 | Julie M Wilson |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1093934267 PECOS PAC ID: 0143326579 Enrollment ID: I20070502000047 |
| 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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