Terra Pain Consultants PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

TERRA PAIN CONSULTANTS PLLC

Practice address

812 Candy Park Rd Ste 6103
Pembroke, NC 28372-9121

Phone

(910) 561-9727

Fax

(866) 950-0218

NPI assigned

Oct 12, 2020

Last updated

Feb 13, 2021By 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

Utpal K Patel, MDNPI 1558332551

Title

President

Phone

(910) 561-9727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Utpal K Patel, MD

  • Pain Medicine (Anesthesiology) Physician
  • Pembroke, NC
  • NPI 1558332551
  Medicare reassignment Care Compare group NPD Authorized official
• Tasha Ivey Brooks, FNP-C

  • Family Nurse Practitioner
  • Pembroke, NC
  • NPI 1336818012
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613174400000",
    "number": "1134727233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12169",
            "city": "RTP",
            "state": "NC",
            "postal_code": "277092169",
            "telephone_number": "919-544-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CANDY PARK RD STE 6103",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729121",
            "telephone_number": "910-561-9727",
            "fax_number": "866-950-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA PAIN CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "UTPAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-561-9727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Pain Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.