Organization Active NPI

Atlas Pain Institute, LLC

Doing business as Atlas Chiropractic And Spinal Rehab

  • Chiropractor
  • Bastrop, TX
National Provider Identifier
1710059126
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9131 Issued in TX
Legal business name
ATLAS PAIN INSTITUTE, LLC
Doing business as
Atlas Chiropractic And Spinal Rehab
Practice address
85 Loop 150 W
Bastrop, TX 78602-3930
Phone
(512) 332-2777
Fax
(512) 332-2701
NPI assigned
Nov 14, 2006
Last updated
Oct 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Dr. Benjamin Jason Trowbridge, D.C.NPI 1528003928
Title
Owner
Phone
(512) 332-2777

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
Chiropractor 111N00000X 9131 TX Primary

Addresses

Primary practice location

85 Loop 150 W
Bastrop, TX 78602-3930

Mailing address

85 Loop 150 W
Bastrop, TX 78602-3930
Phone (512) 332-2777

Other identifiers 1

IdentifierTypeStateIssuer
8AW531OtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Atlas Chiropractic And Spinal Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110613000657 TX Part B Supplier - Clinic/Group Practice 4284811696 Receives reassigned benefits from 1 practitioner
Practice locations: Bastrop, TX

National Provider Directory

National Provider Directory

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1710059126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 LOOP 150 W",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023930",
            "telephone_number": "512-332-2777",
            "fax_number": "512-332-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 LOOP 150 W",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023930",
            "telephone_number": "512-332-2777",
            "fax_number": "512-332-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS PAIN INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "TROWBRIDGE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-332-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8AW531",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Chiropractic And Spinal Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlas Chiropractic And Spinal Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.