Organization Active NPI

Brooksville Pain Management, Inc.

  • Pain Clinic/Center
  • Spring Hill, FL
National Provider Identifier
1700976578
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
ME0067353 Issued in FL
Legal business name
BROOKSVILLE PAIN MANAGEMENT, INC.
Practice address
5467 Commercial Way
Spring Hill, FL 34606-1110
Phone
(352) 597-7111
Fax
(352) 597-7171
NPI assigned
Oct 13, 2006
Last updated
Aug 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Dr. Michael Doyle Courtney, M.D.NPI 1902884679
Title
President
Phone
(352) 597-7111

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 Clinic/Center 261QP3300X ME0067353 FL Primary

Addresses

Primary practice location

5467 Commercial Way
Spring Hill, FL 34606-1110

Mailing address

5467 Commercial Way
Spring Hill, FL 34606-1110
Phone (352) 597-7111

Other identifiers 1

IdentifierTypeStateIssuer
ME0067353OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

5467 Commercial Way
Spring Hill, FL 34606
Phone (352) 597-7111

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1700976578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5467 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061110",
            "telephone_number": "352-597-7111",
            "fax_number": "352-597-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061110",
            "telephone_number": "352-597-7111",
            "fax_number": "352-597-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSVILLE PAIN MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DOYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-597-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "ME0067353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0067353",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.