Brandon Pain Medicine, Inc.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME44537 Issued in FL

Legal business name

BRANDON PAIN MEDICINE, INC.

Practice address

514 Eichefeld Drive
Suite 202
Brandon, FL 33511

Phone

(813) 571-7117

Fax

(813) 571-7017

NPI assigned

Jun 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Rafael V Miguel, MD

Title

Owner

Phone

(813) 571-7117

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beth Frances Allison, PA

  • Physician Assistant
  • Sarasota, FL
  • NPI 1306084694
  NPD (past)
• Donald Louis Erb, D.O.

  • Interventional Pain Medicine Physician
  • Sarasota, FL
  • NPI 1275586042
  NPD (past)
• Pamela A. Gray, PA-C

  • Medical Physician Assistant
  • Sarasota, FL
  • NPI 1902843915
  NPD (past)
• Kelly Ennix King, MD

  • Hospitalist Physician
  • Brandon, FL
  • NPI 1114998606
  NPD (past)
• Victoria Rademaker, ARNP

  • Nurse Practitioner
  • Bradenton, FL
  • NPI 1356396352
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1881821783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 EICHEFELD DRIVE",
            "address_2": "SUITE 202",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-571-7117",
            "fax_number": "813-571-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 EICHEFELD DRIVE",
            "address_2": "SUITE 202",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-571-7117",
            "fax_number": "813-571-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON PAIN MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "MIGUEL",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-571-7117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME44537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Medical Wellness Center (Physical Medicine & Rehabilitation)
• Brandon Mental Health
• Brandon Modern Dentistry, PA (Brandon Modern Dentistry)
• Brandon Nephrology PA
• Brandon Oral Surgery and Specialty Center PLLC
• Brandon Plaza Facility LLC (Brandon Plaza Care Center)
• Brandon Premier Healthcare PA
• Brandon Psychiatric Group LLC
• Brandon Psychiatry and Counseling
• Brandon Regional Hospital

• Pain Medicine (Anesthesiology) Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.