Organization Active NPI

Preferred Pain Associates of Alabama, PC

  • Pain Medicine (Anesthesiology) Physician
  • Birmingham, AL
National Provider Identifier
1477087393
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PREFERRED PAIN ASSOCIATES OF ALABAMA, PC
Practice address
5057 Pinnacle SQ
Birmingham, AL 35235-3216
Phone
(205) 508-5300
Fax
(205) 508-5552
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Luc Frenette, MD
Title
Owner
Phone
(205) 508-2300

Specialties & licenses 1

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

Addresses

Primary practice location

5057 Pinnacle SQ
Birmingham, AL 35235-3216

Mailing address

5057 Pinnacle SQ
Birmingham, AL 35235-3216
Phone (205) 508-5300

Other names 1

  • Preferred Pain Associates of Alabama Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150616002378 AL Part B Supplier - Clinic/Group Practice 2668783796 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Birmingham, AL; Talladega, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9538/brand/1/csg/1/fhir/r4

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": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1477087393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 PINNACLE SQ",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353216",
            "telephone_number": "205-508-5300",
            "fax_number": "205-508-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5057 PINNACLE SQ",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353216",
            "telephone_number": "205-508-5300",
            "fax_number": "205-508-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PAIN ASSOCIATES OF ALABAMA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "FRENETTE",
        "authorized_official_first_name": "LUC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-508-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Pain Associates of Alabama",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Preferred Pain Associates of Alabama",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.