Procare Pain and Spine, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PROCARE PAIN AND SPINE, LLC

Practice address

1 E Liberty St Ste 600
Reno, NV 89501-2110

Phone

(775) 636-6200

Fax

(775) 249-0010

NPI assigned

Feb 19, 2021

Last updated

Feb 14, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel Brady, PA-C, DCNPI 1720299472

Title

Owner

Phone

(775) 828-9665

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel P Brady, PA-C, DC

  • Physician Assistant
  • Reno, NV
  • NPI 1720299472
  Medicare reassignment Authorized official
• Bruce Mullen, MD

  • Physical Medicine & Rehabilitation Physician
  • Carson City, NV
  • NPI 1083781702
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1023601085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W PLUMB LN STE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093686",
            "telephone_number": "775-636-6200",
            "fax_number": "775-249-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E LIBERTY ST STE 600",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895012110",
            "telephone_number": "775-636-6200",
            "fax_number": "775-249-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE PAIN AND SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-828-9665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PA-C, DC"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pritchett Eye Care PC
• Private Healthcare Facilities
• Sandra Marie Procter, BCBA (BACB608548)
• Sylvia Rose Proffitt, RD
• Benjamin Dale Prohaska, PHYSICIAN ASSISTANT
• Project Help Network
• Project Up-Lift, LLC

• Multi-Specialty Clinic/Center in Reno, NV
• Providers in Reno, NV by specialty
• Multi-Specialty Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.