Organization Active NPI

White Mountain Pain Associates PC

  • Specialist
  • Show Low, AZ
National Provider Identifier
1073865572
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WHITE MOUNTAIN PAIN ASSOCIATES PC
Practice address
2451 S White Mountain Rd
Show Low, AZ 85901-7306
Phone
(928) 532-7559
Fax
(928) 532-8599
NPI assigned
Oct 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Authorized official

Name
Dr. Robert J Brownsberger, MD
Title
President / Owner
Phone
(480) 361-7680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X AZ Primary

Addresses

Primary practice location

2451 S White Mountain Rd
Show Low, AZ 85901-7306

Mailing address

PO Box 72090
Phoenix, AZ 85050-1019
Phone (480) 361-7680

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1073865572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72090",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850501019",
            "telephone_number": "480-361-7680",
            "fax_number": "480-361-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 S WHITE MOUNTAIN RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017306",
            "telephone_number": "928-532-7559",
            "fax_number": "928-532-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE MOUNTAIN PAIN ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "BROWNSBERGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "480-361-7680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.