Organization Active NPI

Central Alabama Pain Management Center, P.C.

  • Interventional Pain Medicine Physician
  • Montgomery, AL
National Provider Identifier
1386791697
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
15752 Issued in AL
Legal business name
CENTRAL ALABAMA PAIN MANAGEMENT CENTER, P.C.
Practice address
1709 Forest Ave
Montgomery, AL 36106-1543
Phone
(334) 264-3302
Fax
(334) 264-3305
NPI assigned
Jan 5, 2007
Last updated
Mar 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Dr. Roger Williams Kemp, M.D.NPI 1104984624
Title
Medical Director
Phone
(334) 264-3302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 15752 AL Primary

Addresses

Primary practice location

1709 Forest Ave
Montgomery, AL 36106-1543

Mailing address

1709 Forest Ave
Montgomery, AL 36106-1543
Phone (334) 264-3302

National Provider Directory

National Provider Directory

Locations

1709 Forest Ave
Montgomery, AL 36106
Phone (205) 270-1771

1722 Pine St
Ste 704
Montgomery, AL 36106
Phone (334) 264-3302

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1386791697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 FOREST AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061543",
            "telephone_number": "334-264-3302",
            "fax_number": "334-264-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 FOREST AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061543",
            "telephone_number": "334-264-3302",
            "fax_number": "334-264-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ALABAMA PAIN MANAGEMENT CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "334-264-3302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AL",
            "license": "15752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.