Individual provider Active NPI

Steven K Brockman, MD PHD

  • Interventional Pain Medicine Physician
  • Shelby, NC
National Provider Identifier
1326033879
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
33212 Issued in NC
Practice address
1112 Yancey St
Shelby, NC 28150-3672
Phone
(704) 481-7713
Fax
(704) 235-1971
NPI assigned
Sep 12, 2005
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 33212 NC
Interventional Pain Medicine Physician 208VP0014X 33212 NC Primary

Addresses

Primary practice location

1112 Yancey St
Shelby, NC 28150-3672

Mailing address

1112 Yancey St
Shelby, NC 28150-3672
Phone (704) 481-7713

Other practice location 1

141 Laurel Hill Dr Ste 3
Rutherfordton, NC 28139-3320
Phone (828) 286-2603

Other identifiers 1

IdentifierTypeStateIssuer
1982129136MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000332 NC Practitioner - Pain ManagementPractitioner - Interventional Pain Management 0749355923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Interventional Pain Management
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1112 Yancey St
Shelby, NC 28150-3672
Phone (704) 477-8062

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33212NCMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Pain Care PC Pain Medicine CurrentSince Sep 10, 2017 Accepting new patients
Shelby Anesthesiology Associates PA Past Accepting new patients

Locations

141 Veterans Run
Ste 3
Rutherfordton, NC 28139
Phone (828) 286-2603

1112 Yancey St
Shelby, NC 28150
Phone (704) 481-0171

Interoperability endpoints

  • Direct secure messaging: sbrockman@painccc.curemd.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1326033879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 YANCEY ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503672",
            "telephone_number": "704-481-7713",
            "fax_number": "704-235-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 YANCEY ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503672",
            "telephone_number": "704-481-7713",
            "fax_number": "704-235-1971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Laurel Hill Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Rutherfordton",
            "state": "NC",
            "postal_code": "281393320",
            "country_code": "US",
            "telephone_number": "828-286-2603",
            "fax_number": "704-235-1971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "STEVEN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "33212",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": "33212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982129136",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.