NPIMap

Organization Active NPI

360 Pain and Rehabilitation PLLC

Doing business as Pain Center Austin

  • Pain Medicine (Anesthesiology) Physician
  • Austin, TX
National Provider Identifier
1760701809
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
360 PAIN AND REHABILITATION PLLC
Doing business as
Pain Center Austin
Practice address
2200 Park Bend Dr
BLGD 1, Suite 201
Austin, TX 78758-5387
Phone
(512) 368-2200
Fax
(512) 363-2201
NPI assigned
May 28, 2010
Last updated
Apr 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Ms. Morgan B Krull
Title
Billing Manager
Phone
(512) 363-5779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

2200 Park Bend Dr
BLGD 1, Suite 201
Austin, TX 78758-5387

Mailing address

PO Box 9135
Corpus Christi, TX 78469-9135
Phone (512) 368-2200

Other names 1

  • Pain Center Austin Doing business as

National Provider Directory

National Provider Directory

Locations

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Practitioners & affiliated clinicians

Practitioners 3

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": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1760701809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9135",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784699135",
            "telephone_number": "512-368-2200",
            "fax_number": "512-363-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "BLGD 1, SUITE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585387",
            "telephone_number": "512-368-2200",
            "fax_number": "512-363-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 PAIN AND REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "KRULL",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "512-363-5779",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Center Austin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.