Mid Missouri Pain Management LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

MID MISSOURI PAIN MANAGEMENT LLC

Practice address

811 N Keene St
Columbia, MO 65201-6634

Phone

(573) 777-4878

Fax

(573) 777-4466

NPI assigned

Jul 13, 2011

Organization subpart

No

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

Authorized official

Name

Bradford Noble, DO

Title

Owner/President

Phone

(573) 777-4878

Specialties & licenses 2

Addresses

Other names 1

• Noble Pain Management Doing business as

Locations

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1265720114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016634",
            "telephone_number": "573-777-4878",
            "fax_number": "573-777-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MISSOURI PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "573-777-4878",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noble Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael L Burks, M.D., P.C.
• Michael L. Minten DDS
• Michael S. Todd D.M.D., LLC
• Jill Elizabeth Michaelson, C.R.N.A.
• Mid Missouri Neurosurgery, LLP
• Mid Missouri Surgery Center, LLC
• Mid-America Anesthesia Consultants, PC
• Mid-America Anesthesia Services, LLC
• Mid-Missouri Anesthesiologists, Inc.
• Mid-Missouri Behavioral Health LLC

• Pain Medicine Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Pain Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.