NPIMap

Organization Active NPI

Comprehensive Pain and Spine Specialists LLC

  • Interventional Pain Medicine Physician
  • Muncie, IN
National Provider Identifier
1497426050
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
COMPREHENSIVE PAIN AND SPINE SPECIALISTS LLC
Practice address
3570 N Briarwood LN
Muncie, IN 47304-4211
Phone
(765) 213-6373
Fax
(765) 213-6377
NPI assigned
Sep 23, 2021
Last updated
Sep 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Andrew Trobridge, MDNPI 1912965849
Title
Owner
Phone
(317) 250-7973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

3570 N Briarwood LN
Muncie, IN 47304-4211

Mailing address

3570 N Briarwood LN
Muncie, IN 47304-5211
Phone (765) 213-6373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211019003171 IN Part B Supplier - Clinic/Group Practice 1951799212 Receives reassigned benefits from 18 practitioners
Practice locations: Shelbyville, IN; Muncie, IN; Lebanon, IN; Indianapolis, IN; Lafayette, IN; Avon, IN; Fort Wayne, IN; Fishers, IN
O20240821000206 IN DME Supplier - Physician - Interventional Pain Management 1951799212 Practice locations: Muncie, IN

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1497426050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 N BRIARWOOD LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045211",
            "telephone_number": "765-213-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 N BRIARWOOD LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044211",
            "telephone_number": "765-213-6373",
            "fax_number": "765-213-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN AND SPINE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "TROBRIDGE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-250-7973",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.