Southern Pain Control Center, Inc.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

21981 Issued in AL

Legal business name

SOUTHERN PAIN CONTROL CENTER, INC.

Practice address

7205 Copperfield Dr
Montgomery, AL 36117-7101

Phone

(334) 396-6055

Fax

(334) 273-0952

NPI assigned

Jan 10, 2007

Last updated

Mar 14, 2013By 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. Medha A Pradhan, MDNPI 1255393393

Title

President

Phone

(334) 395-6055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Medha A Pradhan, MD

  • Interventional Pain Medicine Physician
  • Montgomery, AL
  • NPI 1255393393
  Authorized official Same address or phone

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1104976695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 COPPERFIELD DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177101",
            "telephone_number": "334-396-6055",
            "fax_number": "334-273-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 COPPERFIELD DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177101",
            "telephone_number": "334-396-6055",
            "fax_number": "334-273-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PAIN CONTROL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "PRADHAN",
        "authorized_official_first_name": "MEDHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-395-6055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AL",
            "license": "21981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern Specialty Physicians LLC
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• Southwest Alabama Maternity Care
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• Madison Spain

• Interventional Pain Medicine Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Interventional Pain Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.