Organization Active NPI

Owens Interventional Pain Management PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Bryan, TX
National Provider Identifier
1134538093
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
OWENS INTERVENTIONAL PAIN MANAGEMENT PLLC
Practice address
3841 Sagebriar Dr
Bryan, TX 77802-6107
Phone
(979) 774-1377
NPI assigned
Aug 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Brian Owens, MDNPI 1992816292
Title
Physician
Phone
(979) 774-1377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

3841 Sagebriar Dr
Bryan, TX 77802-6107

Mailing address

1511 Texas Ave S # 314
College Station, TX 77840-3328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141106002154 TX Part B Supplier - Clinic/Group Practice 4587886510 Receives reassigned benefits from 2 practitioners
Practice locations: College Station, TX

National Provider Directory

National Provider Directory

Locations

1105 University Dr E
#C102
College Station, TX 77840

1105 University Dr E
Ste C102
College Station, TX 77840
Phone (979) 485-2966

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1134538093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 TEXAS AVE S # 314",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778403328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 SAGEBRIAR DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778026107",
            "telephone_number": "979-774-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENS INTERVENTIONAL PAIN MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "979-774-1377",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.