Active NPI
Neuropathy and Pain Solutions of South County
- Pain Medicine (Anesthesiology) Physician
- Saint Louis, MO
National Provider Identifier
1942976170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- NEUROPATHY AND PAIN SOLUTIONS OF SOUTH COUNTY
- Practice address
- 4109 Union Rd
Saint Louis, MO 63129-1064 - Phone
- (618) 233-4458
- NPI assigned
- Aug 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon Williams
- Title
- Authorized Official
- Phone
- (618) 233-4458
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary | ||
| Family Medicine Physician | 207Q00000X |
Addresses
Primary practice location
4109 Union Rd
Saint Louis, MO 63129-1064
Mailing address
4109 Union Rd
Saint Louis, MO 63129-1064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210914001120 | MO | Part B Supplier - Clinic/Group Practice | 7911303185 |
Receives reassigned benefits from 5 practitioners Practice locations: Saint Louis, MO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Creve Coeur, MO
- NPI 1225675291
MO
-
- Chiropractor
- Belleville, IL
- NPI 1679540959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629331200000",
"number": "1942976170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 UNION RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631291064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4109 UNION RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631291064",
"telephone_number": "618-233-4458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROPATHY AND PAIN SOLUTIONS OF SOUTH COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "618-233-4458"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.