Brain & Pain Care, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

BRAIN & PAIN CARE, LLC

Practice address

7600 Fern Ave Ste 700B
Shreveport, LA 71105-5673

Phone

(318) 616-6000

Fax

(318) 616-6616

NPI assigned

Oct 18, 2019

Last updated

Sep 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jai Munjampalli, MDNPI 1568728178

Title

Owner

Phone

(318) 469-8517

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Jai P Munjampalli, M.D.

  • Interventional Pain Medicine Physician
  • Shreveport, LA
  • NPI 1568728178
  Medicare reassignment Care Compare group NPD Authorized official
• Cierra M. Tyndall, PA.

  • Physician Assistant
  • Shreveport, LA
  • NPI 1689984536
  Medicare reassignment Care Compare group
• Martha Alvarez, PA

  • Physician Assistant
  • Shreveport, LA
  • NPI 1336799204
  Medicare reassignment
• Melissa Aron Gillum, PA

  • Physician Assistant
  • Shreveport, LA
  • NPI 1679587562
  Medicare reassignment

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1760025001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 CAPTAIN DILLON CT",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711154606",
            "telephone_number": "318-469-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FERN AVE STE 700B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055673",
            "telephone_number": "318-616-6000",
            "fax_number": "318-616-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN & PAIN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "MUNJAMPALLI",
        "authorized_official_first_name": "JAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-469-8517",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Austin Bradshaw, MD
• James Earl Brady, DDS
• Alana O Bragg
• Maxine Braggs
• Zaria Braggs
• Amy Myers Brainis, NURSE PRACTITIONER
• Kamel Brakta, MD
• Stephen Michael Brandao Jr., NP
• Roy Brandhurst, MD
• Brandon Group International, LLC (Bgi) (BGI Transportation)

• Pain Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pain Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.