Organization Active NPI

Atx Pain Spine and Regenerative Center PLLC

  • Interventional Pain Medicine Physician
  • Austin, TX
National Provider Identifier
1225707102
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ATX PAIN SPINE AND REGENERATIVE CENTER PLLC
Practice address
12501 Hymeadow Dr Ste 1F
Austin, TX 78750-1831
Phone
(512) 924-2978
NPI assigned
Sep 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Dr. Bart G Atencio, DCNPI 1548335359
Title
Manager
Phone
(512) 924-2978

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
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

12501 Hymeadow Dr Ste 1F
Austin, TX 78750-1831

Mailing address

12501 Hymeadow Dr Ste 1F
Austin, TX 78750-1831
Phone (512) 924-2978

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1225707102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 HYMEADOW DR STE 1F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501831",
            "telephone_number": "512-924-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 HYMEADOW DR STE 1F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501831",
            "telephone_number": "512-924-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATX PAIN SPINE AND REGENERATIVE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "ATENCIO",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-924-2978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.