ROCKY MOUNT PAIN AND SPINE NPI 1811253065

NPI Information

NPI: 1811253065
Provider Name: ROCKY MOUNT PAIN AND SPINE

Doing Business As: BRIER CREEK INTEGRATED PAIN AND SPINE

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 34D2015452

Address:
7780 BRIER CREEK PKWY
200
RALEIGH, NC
ZIP 27617
Phone: (919) 596-3400
Get Directions

ROCKY MOUNT PAIN AND SPINE is a medical specialty clinic center in Raleigh, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ROCKY MOUNT PAIN AND SPINE NPI is 1811253065. The provider is registered as an organization entity type.
The provider Is Doing Business As Brier Creek Integrated Pain And Spine.

The provider's business location address is:

7780 BRIER CREEK PKWY
200
RALEIGH, NC
ZIP 27617-849
Phone: (919) 596-3400
Fax: (919) 596-3499

The provider's authorized official is Nicole Carlson .
The authorized official title is Administrative Coordinator and has the following contact phone number (252) 200-5180.

The CLIA number assigned to this NPI record is 34D2015452 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/2/2012 and was last updated on 4/2/2012.

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
1	261QM2500X	Clinic/Center	Medical Specialty	141911	NORTH CAROLINA	Yes

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
1	141911	OTHER	NORTH CAROLINA	STATE LICENSE
2	232132	MEDICARE PIN	NORTH CAROLINA
3	5915893	MEDICAID	NORTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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