Active NPI
Pain, Injury & Brain Centers of America MN LLC
- Pain Clinic/Center
- Savage, MN
National Provider Identifier
1962774745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- PAIN, INJURY & BRAIN CENTERS OF AMERICA MN LLC
- Practice address
- 14247 Oconnell CT
Savage, MN 55378-2878 - Phone
- (507) 269-1051
- NPI assigned
- Feb 8, 2012
- 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
- Ms. Sue Henry
- Title
- Owner
- Phone
- (507) 269-1051
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
14247 Oconnell CT
Savage, MN 55378-2878
Mailing address
17838 25TH St SE
Dover, MN 55929-1500
Phone (507) 269-1051
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328659200000",
"number": "1962774745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17838 25TH ST SE",
"city": "DOVER",
"state": "MN",
"postal_code": "559291500",
"telephone_number": "507-269-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14247 OCONNELL CT",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553782878",
"telephone_number": "507-269-1051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN, INJURY & BRAIN CENTERS OF AMERICA MN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-08",
"last_updated": "2012-02-08",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "507-269-1051",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savage, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.