Preferred Pain Associates of Alabama, P.C.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

AL16501 Issued in AL

Legal business name

PREFERRED PAIN ASSOCIATES OF ALABAMA, P.C.

Practice address

5057 Pinnacle SQ
Birmingham, AL 35235-3216

Phone

(205) 508-5300

Fax

(205) 508-5552

NPI assigned

Jul 31, 2014

Organization subpart

No

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

Authorized official

Name

Joseph Roland Luc Frenette

Title

Owner

Phone

(205) 508-5300

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Preferred Pain Associates of Alabama, PC

  • Pain Medicine (Anesthesiology) Physician
  • Birmingham, AL
  • NPI 1477087393

  O20150616002378

  Same enrollment

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luc Frenette, MD

  • Pain Medicine (Anesthesiology) Physician
  • Birmingham, AL
  • NPI 1336175439
  Medicare reassignment Care Compare group NPD
• David Michael Hardin, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1629489059
  Medicare reassignment Care Compare group NPD
• Hector T Toledo, M.D.

  • Anesthesiology Physician
  • Jasper, AL
  • NPI 1831142025
  Medicare reassignment NPD

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1558779736",
    "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, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2021-03-04",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "FRENETTE",
        "authorized_official_first_name": "JOSEPH ROLAND",
        "authorized_official_middle_name": "LUC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-508-5300"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "16051",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "AL16501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000083967",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051511180",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SPRING OF ALABAMA",
            "identifier": "2674",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00127023",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000083967",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011",
            "identifier": "010033CE88731",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "E88731",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050045678",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pain Medicine (Anesthesiology) Physician in Alabama

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