CAROLINA PAIN CARE PC NPI 1982129136

NPI Information

  • NPI: 1982129136
  • Provider Name: CAROLINA PAIN CARE PC
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 34D2136528
  • Address: 1112 YANCEY ST
    SHELBY, NC
    ZIP 28150
  • Phone: (704) 481-7713

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NPI Details

CAROLINA PAIN CARE PC is a pain medicine anesthesiology in Shelby, NC. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. CAROLINA PAIN CARE PC NPI is 1982129136. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1112 YANCEY ST
SHELBY, NC
ZIP 28150-672
Phone: (704) 481-7713
Fax: (704) 481-7663

The provider's authorized official is Steven Kenneth Brockman .
The authorized official title is Physican/owner and has the following contact phone number (704) 481-7713.

The CLIA number assigned to this NPI record is 34D2136528 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2017 and was last updated on 4/23/2019.

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
1208VP0000XPain MedicinePain Medicine33212NORTH CAROLINANo
2207LP2900XAnesthesiologyPain Medicine33212NORTH CAROLINAYes

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
11982129136MEDICAIDNORTH 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: 11/21/2025

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