Organization Active NPI

Brazos Pain Management PA

  • Pain Medicine (Anesthesiology) Physician
  • Sugar Land, TX
National Provider Identifier
1205088465
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
J0837 Issued in TX
Legal business name
BRAZOS PAIN MANAGEMENT PA
Practice address
2225 Williams Trace Blvd
Suite 108
Sugar Land, TX 77478-4440
Phone
(281) 240-4300
Fax
(281) 240-4353
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Cheryl D White, MD
Title
Owner/President
Phone
(281) 240-4300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X J0837 TX Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X J0837 TX

Addresses

Primary practice location

2225 Williams Trace Blvd
Suite 108
Sugar Land, TX 77478-4440

Mailing address

2225 Williams Trace Blvd
Suite 108
Sugar Land, TX 77478-4440
Phone (281) 240-4300

National Provider Directory

National Provider Directory

Locations

3506 Highway 6
Ste 347
Sugar Land, TX 77478

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1205088465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 WILLIAMS TRACE BLVD",
            "address_2": "SUITE 108",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784440",
            "telephone_number": "281-240-4300",
            "fax_number": "281-240-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 WILLIAMS TRACE BLVD",
            "address_2": "SUITE 108",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784440",
            "telephone_number": "281-240-4300",
            "fax_number": "281-240-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS PAIN MANAGEMENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "281-240-4300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J0837",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "J0837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.