The Physicians Pain and Spine Centre – Interventional Pain Medicine Physician, NPI 1366299539

The Physicians Pain and Spine Centre is a healthcare provider. based in Bryan, Texas. specializing in Interventional Pain Medicine Physician. The NPI Number for The Physicians Pain and Spine Centre is 1366299539

Main info

Organization
Name
The Physicians Pain and Spine Centre
NPI
1366299539
Phone
Not provided
Address
3131 UNIVERSITY DR E
Authorized Official
JENNIFER BOYD BALDOCK OFFICER AND AUTHORIZED OFFICIAL
Enumeration Date
4 May 2024
Last Update Date
4 May 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness80
Years active:2State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for The Physicians Pain and Spine Centre

  • 3131 UNIVERSITY DR E

    BRYAN, TX 778023473

    Phone:

    Type: Mailing

  • 3201 UNIVERSITY DR E STE 470

    BRYAN, TX 778023487

    Phone: (979) 731-3906

    Fax: (979) 774-1253

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20231107001459OClinic/Group PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77802)

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Reviews

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Frequently asked questions

What NPI should I save for The Physicians Pain and Spine Centre?
Save NPI 1366299539 if you need a stable reference for The Physicians Pain and Spine Centre.
Is The Physicians Pain and Spine Centre's NPI currently valid?
The extract we use shows The Physicians Pain and Spine Centre as active.
What kind of provider is The Physicians Pain and Spine Centre?
The page reflects Interventional Pain Medicine Physician for The Physicians Pain and Spine Centre. Clinical services aligned with this taxonomy classification.
Where does public data place The Physicians Pain and Spine Centre?
The snapshot lists Bryan, Texas for The Physicians Pain and Spine Centre; download NPPES for the complete set.
Is The Physicians Pain and Spine Centre a real provider?
This page reflects official NPPES data for NPI 1366299539. Always confirm identity and privileges with the practice and licensing boards.

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