Carolina Pain Care PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

33212 Issued in NC

Legal business name

CAROLINA PAIN CARE PC

Practice address

1112 Yancey St
Shelby, NC 28150-3672

Phone

(704) 481-7713

Fax

(704) 481-7663

NPI assigned

Aug 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Steven Kenneth Brockman, MD PHDNPI 1326033879

Title

Physican/Owner

Phone

(704) 481-7713

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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

• Steven K Brockman, MD PHD

  • Interventional Pain Medicine Physician
  • Shelby, NC
  • NPI 1326033879
  Medicare reassignment NPD Authorized official
• Zachary John Fowler, PA-C

  • Physician Assistant
  • Rutherfordton, NC
  • NPI 1326603515
  NPD (past)
• Ashley Bartlette Larsen, PA-C

  • Physician Assistant
  • Shelby, NC
  • NPI 1790758183
  NPD (past)

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1982129136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 YANCEY ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503672",
            "telephone_number": "704-481-7713",
            "fax_number": "704-235-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 YANCEY ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503672",
            "telephone_number": "704-481-7713",
            "fax_number": "704-481-7663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Laurel Hill Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Rutherfordton",
            "state": "NC",
            "postal_code": "281393320",
            "country_code": "US",
            "telephone_number": "828-286-2603",
            "fax_number": "828-395-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA PAIN CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PHYSICAN/OWNER",
        "authorized_official_telephone_number": "704-481-7713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "33212",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "33212",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982129136",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Carlton, LPN
• Carolina Anti Aging and Neuropathy, PLLC
• Carolina Chiropractic Group PLLC
• Carolina Chiropractic Plus of Cleveland County Inc
• Carolina Foot and Ankle, P.a.
• Carolina Physician Care PLLC
• Carolina Pulmonary and Comprehensive Sleep Center
• Carolina Services of North Carolina, LLC
• Carolinas Emergency Physicians, P.a.
• Carolinas Medical Center at Home, LLC

• Pain Medicine (Anesthesiology) Physician in Shelby, NC
• Providers in Shelby, NC by specialty
• Pain Medicine (Anesthesiology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.