DR. SERGIO EDUARDO SOUZA M.D NPI 1558305979

NPI Information

  • NPI: 1558305979
  • Provider Name: DR. SERGIO EDUARDO SOUZA, M.D
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3551 ROGER BROOKE DR
    FORT SAM HOUSTON, TX
    ZIP 78234
  • Phone: (219) 916-2888

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NPI Details

DR. Sergio Eduardo Souza, M.D is an interventional pain medicine pain medicine in Fort Sam Houston, TX. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DR. Sergio Eduardo Souza, M.D NPI is 1558305979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX
ZIP 78234-504
Phone: (219) 916-2888

The NPI 1558305979 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 12/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology0101238938VIRGINIANo
2207LP2900XAnesthesiologyPain Medicine35090134OHIONo
3208VP0014XPain MedicineInterventional Pain MedicineM5517TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICARE PINTEXAS
28CZ439OTHERTEXASBLUE CROSS/BLUE SHIELD
3PENDINGMEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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