Organization
BRAINMATTERS NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASIDHARAN TARAVATH (PRESIDENT/CEO)
(910) 333-0026
Entity
Organization
Contact information
Practice address
3391 HENDERSON DR, JACKSONVILLE, NC 28546-5231
(910) 333-0026
(800) 759-6517
Mailing address
3391 HENDERSON DR, JACKSONVILLE, NC 28546-5231
(910) 333-0026
(800) 759-6517
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/04/2024
Last updated
03/07/2026
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