Organization Active NPI

Apollo Pain Management, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Bradenton, FL
National Provider Identifier
1548151228
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
APOLLO PAIN MANAGEMENT, LLC
Practice address
5101 4TH Avenue Cir E Ste 300
Bradenton, FL 34208-5625
Phone
(833) 320-7246
Fax
(877) 878-2936
NPI assigned
Jul 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Randall James Warren, MDNPI 1821245424
Title
Physician/Owner
Phone
(833) 320-7246

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 1

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

Addresses

Primary practice location

5101 4TH Avenue Cir E Ste 300
Bradenton, FL 34208-5625

Mailing address

720 Cortaro Dr
Sun City Center, FL 33573-6811
Phone (833) 320-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250820000738 FL DME Supplier - Physician - Interventional Pain Management 2567790504 Practice locations: Bradenton, FL

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

5101 4th Avenue Cir E
Ste 300
Bradenton, FL 34208

5307 E State Road 64
Bradenton, FL 34208
Phone (833) 320-7246

Practitioners & affiliated clinicians

Practitioners 2

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": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1548151228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 CORTARO DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736811",
            "telephone_number": "833-320-7246",
            "fax_number": "877-878-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 4TH AVENUE CIR E STE 300",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085625",
            "telephone_number": "833-320-7246",
            "fax_number": "877-878-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "833-320-7246",
        "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": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.