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BRAIN RESTORATION CLINIC, PLLC
NPI 1871912667
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Indian Land, SC

Active since April 09, 2014
1040 EDGEWATER CORP PKWY, SUITE 106, INDIAN LAND, SC 29707(704) 541-9117(704) 541-9137 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brain Restoration Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAIN RESTORATION CLINIC, PLLC (NPI 1871912667) is a healthcare organization registered as a neurology with special qualifications in child neurology in Indian Land, South Carolina and active in the NPI registry since April 2014. The organization lists Jean-ronel Corbier, Owner, as its authorized official.

NPPES Registry Identity

NPI1871912667
Entity TypeOrganization
Primary Taxonomy2084N0402X
Legal Business NameBRAIN RESTORATION CLINIC, PLLC
Location Address1040 EDGEWATER CORP PKWY, SUITE 106Indian Land, SC 29707-4514
Mailing Address1040 Edgewater Corp Pkwy, Suite 106Indian Land, SC 29707-4514 · (704) 541-9117 · Fax (704) 541-9137
Phone(704) 541-9117
Fax(704) 541-9137
Organization SubpartNo
Authorized OfficialJean-ronel CorbierOwner · (704) 541-9117
Enumeration DateApril 9, 2014
Last NPPES UpdateAugust 5, 2015
✔ NPI 1871912667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in NC · 200601910
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
1040 EDGEWATER CORP PKWY, Indian Land, SC 29707
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Other Identifiers 2

Medicare UPINH26468NC
Medicaid5905648NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEAN-RONEL CORBIER MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1040 EDGEWATER CORP PKWY, SUITE 106
INDIAN LAND, SC 29707
Lancaster County (704) 541-9117

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 Brain Restoration Clinic, PLLC's NPI number?

The NPI number for Brain Restoration Clinic, PLLC is 1871912667. It was assigned to this organization in the NPPES registry on April 9, 2014.

Where is Brain Restoration Clinic, PLLC located?

Brain Restoration Clinic, PLLC is located at 1040 Edgewater Corp Pkwy Suite 106, Indian Land, SC 29707. The listed phone number is (704) 541-9117.

What is Brain Restoration Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

When was this NPI record last updated?

The NPPES record for Brain Restoration Clinic, PLLC was last updated on August 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.