NPIMap

Organization Active NPI

River Region Pain Management, PC

  • Anesthesiology Physician
  • Montgomery, AL
National Provider Identifier
1134568231
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
RIVER REGION PAIN MANAGEMENT, PC
Practice address
3283 Malcolm Dr
Suite 105
Montgomery, AL 36116-8816
Phone
(334) 356-9970
Fax
(334) 356-9873
NPI assigned
Jun 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Brad A Hooks
Title
President
Phone
(334) 414-3435

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X

Addresses

Primary practice location

3283 Malcolm Dr
Suite 105
Montgomery, AL 36116-8816

Mailing address

PO Box 660257
Birmingham, AL 35266-0257
Phone (205) 979-5882

Other identifiers 1

IdentifierTypeStateIssuer
150179MedicaidAL

National Provider Directory

National Provider Directory

Locations

3283 Malcolm Dr
Ste 105
Montgomery, AL 36116
Phone (334) 356-9970

Practitioners & affiliated clinicians

Practitioners 3

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": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1134568231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660257",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352660257",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3283 MALCOLM DR",
            "address_2": "SUITE 105",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361168816",
            "telephone_number": "334-356-9970",
            "fax_number": "334-356-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER REGION PAIN MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "HOOKS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-414-3435"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150179",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.