OrganizationActive
Brainwave Neurodiagnostics LLC
NPI 1306486394 · Physiological Laboratory · Mckinney, TX
Provider details
- NPI number
- 1306486394
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Nibu Malaickal, Owner(214) 686-9393
Specialties & taxonomies
Laboratories
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4541 Medical Center Dr
Mckinney, TX 75069-1651
Phone: (214) 686-9393
Street-level locationGet directions
Mailing address
304 S Coppell Rd
Coppell, TX 75019-2417
Registry dates
- Enumerated
- 2020-01-08
- Last updated
- 2020-01-08
- Certified
- 2020-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.