Organization Active NPI

Pain Management Consultants of Milwaukee, S.C.

  • Pain Medicine (Anesthesiology) Physician
  • Brookfield, WI
National Provider Identifier
1255494985
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PAIN MANAGEMENT CONSULTANTS OF MILWAUKEE, S.C.
Practice address
125 N Executive Dr
Suite 108
Brookfield, WI 53005-6070
Phone
(262) 780-0770
NPI assigned
Dec 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Mehran Heydarpour, M.D.
Title
President
Phone
(262) 780-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X WI Primary

Addresses

Primary practice location

125 N Executive Dr
Suite 108
Brookfield, WI 53005-6070

Mailing address

PO Box 1413
Brookfield, WI 53008-1413
Phone (262) 780-0770

National Provider Directory

National Provider Directory

Locations

125 N Executive Dr
Ste 108
Brookfield, WI 53005
Phone (262) 780-0770

2745 W Layton Ave
Ste 104
Milwaukee, WI 53221
Phone (414) 281-1138

NPI Registry JSON

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1255494985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1413",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530081413",
            "telephone_number": "262-780-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N EXECUTIVE DR",
            "address_2": "SUITE 108",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056070",
            "telephone_number": "262-780-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CONSULTANTS OF MILWAUKEE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-17",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "HEYDARPOUR",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-780-0770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.