Organization Active NPI

Texas Pain Center ASC

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
National Provider Identifier
1609452978
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TEXAS PAIN CENTER ASC
Practice address
9010 Brodie LN Ste D200
Austin, TX 78748-5183
Phone
(512) 380-4148
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Sara Hall, DON
Title
Director of Nursing
Phone
(512) 380-4148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

9010 Brodie LN Ste D200
Austin, TX 78748-5183

Mailing address

9010 Brodie LN Ste D200
Austin, TX 78748-5183
Phone (512) 380-4148

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211008001516 TX Part B Supplier - Ambulatory Surgical Center 7517365323 Practice locations: Austin, TX

Ambulatory surgical center certification: CCN 45C0451271

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Texas Pain Center ASC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Nov 29, 2023
Last certification
Nov 29, 2023
Facility address
9010 Brodie Lane Suite D200
Austin, TX 78748

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2223353Texas Pain Center ASC9010 Brodie Lane, Suite D200, Austin, TX 78748Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

9010 Brodie Ln
Ste D200
Austin, TX 78748
Phone (512) 380-4148

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": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1609452978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 BRODIE LN STE D200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485183",
            "telephone_number": "512-380-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 BRODIE LN STE D200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485183",
            "telephone_number": "512-380-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PAIN CENTER ASC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "512-380-4148",
        "authorized_official_credential": "DON"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.