BROOKS PAIN CLINIC LLC (NPI# 1417204140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417204140 |
| Entity Type | Organization |
| Organization Name | BROOKS PAIN CLINIC LLC |
| Practice Address |
820 Nw 13th St Oklahoma City OK 73106-6827 |
| Practice Telephone | 4059430303 |
| Practice Fax Number | 4052720515 |
| Mailing Telephone | 4059430303 |
| Mailing Fax Number | 4052720515 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |
| Authorized Official Name | RODNEY MILLER (OWNER) |
| Authorized Official Telephone | 4059430303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
820 NW 13TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73106-6827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134220122 | Pro-medical Inc | Anesthesiology | 820 Nw 13th St, Oklahoma City, OK 73106-6827 | 2006-09-25 |
| 1699100164 | The Brooks Accident and Injury Clinic, LLC | Anesthesiology | 820 Nw 13th St, Oklahoma City, OK 73106-6827 | 2013-09-03 |
| 1568712602 | Midtown Rehab LLC | Clinic/Center | 820 Nw 13th St, Oklahoma City, OK 73106-6827 | 2012-09-17 |
| 1811156615 | Jerry Pritchett | Internal Medicine | 820 Nw 13th St, Oklahoma City, OK 73106-6827 | 2008-06-06 |
| 1093834582 | Sammual W. Gunnels | Physician Assistant | 820 Nw 13th St, Oklahoma City, OK 73106-6827 | 2007-03-28 |
| 1841391745 | Jerry Preston Dickey | Chiropractor | 820 Nw 13th St, Oklahoma City, OK 73106-6827 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1598290538 | Eric T Manuel | Counselor | 1841 Nw 18th Street, Oklahoma City, OK 73106 | 2017-04-27 |
| 1679010516 | Danny Lee Stone | Peer Specialist | 3010 N Mckinley Ave, Oklahoma City, OK 73106 | 2017-01-31 |
| 1245683929 | Shandi Alphonso | Peer Specialist | 1219 N.w. 9th St., Okc, OK 73106 | 2016-07-19 |
| 1033593173 | Good Journey Hospice, LLC | Hospice Care, Community Based | 901 Nw 25th, Room 2, Oklahoma City, OK 73106 | 2015-07-18 |
| 1114317435 | Savanah Brook Caddel | Counselor | 1251 Nw 25th St, Oklahoma City, OK 73106 | 2015-01-24 |
| 1619381084 | Theressa Hall | Case Manager/Care Coordinator | 1330 N. Classen Blvd, Suite 302, Oklahoma City, OK 73106 | 2014-06-13 |
| 1417376021 | Christe Lyn Sweat | Case Manager/Care Coordinator | 900 Nw 10 Street, Oklahoma City, OK 73106 | 2014-04-10 |
| 1003169004 | Jessica Stevie Schrameck | Counselor | 1017 Nw 6th St., Oklahoma City, OK 73106 | 2012-10-16 |
| 1841579166 | Frances Bernice Pasternik | Counselor | 2220 North Classen Blvd, Suite E, Oklahoma City, OK 73106 | 2011-08-04 |
| Find all providers in zip 73106 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1942620604 | Joshua Marvin Woolard | Pain Medicine | 3601 Nw 138th St Ste 200, Oklahoma City, OK 73134-2513 | 2014-04-21 |
| 1497375463 | Clinilogic LLC | Pain Medicine | 3727 Nw 63rd St Ste 302, Oklahoma City, OK 73116-1931 | 2020-04-20 |
| 1245730167 | Interventional Spine Services- II, LLC | Pain Medicine | 1907 N Broadway Ave, Oklahoma City, OK 73103-4407 | 2018-02-16 |
| 1700235645 | Elite Pain & Health PC | Pain Medicine | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | 2016-06-10 |
| 1366822298 | Oklahoma Pain Physicians PC | Pain Medicine | 13301 N Meridian Ave, Bldg 600, Oklahoma City, OK 73120-9369 | 2015-06-05 |
| 1518345248 | Oklahoma Spine Hospital LLC | Pain Medicine | 14101 Parkway Commons Dr, Oklahoma City, OK 73134-6012 | 2015-05-14 |
| 1275947335 | Timothy Luke Cramer | Pain Medicine | 1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103 | 2014-06-17 |
| 1487072385 | Pro Medical Inc | Pain Medicine | 1145 Sw 74th Street, Bldg 1 Suite 300, Oklahoma City, OK 73139-2171 | 2014-03-29 |
| 1568701332 | Jack E. Marshall Md LLC | Pain Medicine | 14100 Parkway Commons Dr, Suite 100, Oklahoma City, OK 73134-6036 | 2013-02-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.