Provider Demographics
NPI:1578194460
Name:PRECISION BRAIN CARE PLLC
Entity Type:Organization
Organization Name:PRECISION BRAIN CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:HEIDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-350-4471
Mailing Address - Street 1:5740 RIVER BIRCH DRIVE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-4358
Mailing Address - Country:US
Mailing Address - Phone:253-350-4471
Mailing Address - Fax:
Practice Address - Street 1:5740 RIVER BIRCH DRIVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-4358
Practice Address - Country:US
Practice Address - Phone:253-350-4471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular NeurologyGroup - Multi-Specialty