BRAINGEVITYMD
NPI 1255210530
Clinic/Center in Temple Terrace, FL
About Braingevitymd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAINGEVITYMD (NPI 1255210530) is a healthcare organization registered as a clinic/center in Temple Terrace, Florida and active in the NPI registry since August 2025. The organization lists Ellie Frazey, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Braingevitymd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Braingevitymd, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Braingevitymd's NPI number?
The NPI number for Braingevitymd is 1255210530. It was assigned to this organization in the NPPES registry on August 29, 2025.
Where is Braingevitymd located?
Braingevitymd is located at 9220 Overlook Dr, Temple Terrace, FL 33617. The listed phone number is (813) 820-1520.
What is Braingevitymd's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Braingevitymd enrolled in Medicare?
Yes. Braingevitymd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Braingevitymd?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Braingevitymd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Braingevitymd was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Braingevitymd · NPI 1255210530
Clinic/Center organization in Temple Terrace, Florida. Organization record, active in the CMS NPPES registry since August 29, 2025.
## Identity
- **NPI:** 1255210530 (Entity type: Organization)
- **Enumerated:** August 29, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Ellie Frazey, MEDICAL DIRECTOR
## Practice location
- **Address:** 9220 OVERLOOK DR, Temple Terrace, FL 33617-5422
- **Phone:** (813) 820-1520
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Neurology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1255210530) · Data from the CMS NPPES public registry.