OrganizationActive
Brain Restoration Clinic, PLLC
NPI 1871912667 · Neurology with Special Qualifications in Child Neurology Physician · Indian Land, SC
Provider details
- NPI number
- 1871912667
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jean-Ronel Corbier, Owner(704) 541-9117
- License
- 200601910 (NC)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 200601910 (NC)
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1040 Edgewater Corp Pkwy
Suite 106
Indian Land, SC 29707-4514
Phone: (704) 541-9117
Fax: (704) 541-9137
Street-level locationGet directions
Mailing address
1040 Edgewater Corp Pkwy
Indian Land, SC 29707-4514
Registry dates
- Enumerated
- 2014-04-09
- Last updated
- 2015-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.