Comprehensive Pain and Spine Specialists LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

COMPREHENSIVE PAIN AND SPINE SPECIALISTS LLC

Practice address

4725 Statesmen Dr Ste a
Indianapolis, IN 46250-5645

Phone

(317) 842-7928

Fax

(317) 841-3337

NPI assigned

Feb 4, 2022

Organization subpart

Yes

Parent organization

COMPREHENSIVE PAIN AND SPINE SPECIALISTS LLCAs reported in NPPES

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

Specialties & licenses 2

Addresses

Part of

Comprehensive Pain LLC

Locations

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.

• Andrew T Trobridge, MD

  • Pain Medicine (Anesthesiology) Physician
  • Muncie, IN
  • NPI 1912965849
  Authorized official Same address or phone

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1508510942",
    "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",
            "fax_number": "765-213-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 STATESMEN DR STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505645",
            "telephone_number": "317-842-7928",
            "fax_number": "317-841-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN AND SPINE SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE PAIN AND SPINE SPECIALISTS LLC",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "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": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.