NPIMap

Organization Active NPI

Central Texas Pain Center, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Bastrop, TX
National Provider Identifier
1902271935
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CENTRAL TEXAS PAIN CENTER, PLLC
Practice address
3101 Highway 71 E Ste 211
Bastrop, TX 78602-5157
Phone
(855) 876-7246
Fax
(855) 277-5070
NPI assigned
Dec 2, 2015
Last updated
Jul 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Daniel Frederick, MDNPI 1801973581
Title
Authorized Officer
Phone
(512) 485-7208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

3101 Highway 71 E Ste 211
Bastrop, TX 78602-5157

Mailing address

PO Box 208361
Dallas, TX 75320-8361
Phone (512) 485-7208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250919000384 TX DME Supplier - Medical Supply Company With Respiratory Therapist 0547233207 Practice locations: Bastrop, TX

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Central Texas Pain Center, PLLC3101 Highway 71 E, Bastrop, TX 78602-5157(855) 876-7246 (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Mar 9, 2026

National Provider Directory

National Provider Directory
Tax ID family
Eric James Miller MD PA17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4007 James Casey St
Ste D250
Austin, TX 78745
Phone (512) 443-6100

4316 James Casey St
Ste E2
Austin, TX 78745

1401 Medical Pkwy
Bldg 2
Cedar Park, TX 78613

1464 E Whitestone Blvd
Ste 1302
Cedar Park, TX 78613
Phone (254) 231-3287

806 E Avenue D
Ste E
Copperas Cove, TX 76522
Phone (254) 238-8934

1520 Leander Rd
Ste 102
Georgetown, TX 78628
Phone (512) 246-4318

2300 Round Rock Ave
Ste 106A
Round Rock, TX 78681

10252 W Adams Ave
Temple, TX 76502

1210 S 31st St
Temple, TX 76504

5100 Franklin Ave
Waco, TX 76710
Phone (254) 313-9559

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1902271935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208361",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208361",
            "telephone_number": "512-485-7208",
            "fax_number": "844-364-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 HIGHWAY 71 E STE 211",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025157",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS PAIN CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICER",
        "authorized_official_telephone_number": "512-485-7208",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 11, 2025; 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.