Provider Demographics
NPI:1912289091
Name:ADVANCED NEUROSCIENCES INSTITUTE INC
Entity Type:Organization
Organization Name:ADVANCED NEUROSCIENCES INSTITUTE INC
Other - Org Name:BRAIN AND NERVE NEUROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:FORRESTER
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:615-791-5470
Mailing Address - Street 1:625 BAKERS BRIDGE AVE
Mailing Address - Street 2:STE 105 PMB240
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5429
Mailing Address - Country:US
Mailing Address - Phone:615-791-5480
Mailing Address - Fax:615-595-0265
Practice Address - Street 1:150 STEPHEN P YOKICH PKWY STE H
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-3326
Practice Address - Country:US
Practice Address - Phone:615-791-5470
Practice Address - Fax:615-595-0265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-14
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084D0003XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyDiagnostic NeuroimagingGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty