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INTERVENTIONAL SPINE AND PAIN ASSOCIATES BRAZOS VALLEY PLLC NPI 1568108249


NPI Information

NPI: 1568108249
Provider Name: INTERVENTIONAL SPINE AND PAIN ASSOCIATES BRAZOS VALLEY PLLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 45D2268567

Address:
3106 TEXAS AVE S
COLLEGE STATION, TX
ZIP 77845
Phone: (979) 985-5489
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INTERVENTIONAL SPINE AND PAIN ASSOCIATES BRAZOS VALLEY PLLC is a pain medicine physical medicine rehabilitation in College Station, TX. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. INTERVENTIONAL SPINE AND PAIN ASSOCIATES BRAZOS VALLEY PLLC NPI is 1568108249. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3106 TEXAS AVE S
COLLEGE STATION, TX
ZIP 77845-050
Phone: (979) 985-5489
Fax: (979) 985-5489

The provider's authorized official is Ryan Whitmer .
The authorized official title is President and has the following contact phone number (903) 987-4909.

The CLIA number assigned to this NPI record is 45D2268567 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2022 and was last updated on 8/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.