BRANDON PAIN CLINIC
NPI 1336336130
Specialist in Brandon, FL
About Brandon Pain Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON PAIN CLINIC (NPI 1336336130) is a healthcare organization registered as a specialist in Brandon, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Certificate of Compliance certificate valid through May 11, 2028 and lists Jean Sidhom, Billing/office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brandon Pain Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Brandon Pain Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 10D1096369
George S Sidhom MD PA D/B/A Brandon Pain Clinic · Brandon, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is George Sidhom MD PA's NPI number?
The NPI number for George Sidhom MD PA is 1336336130. It was assigned to this organization in the NPPES registry on September 26, 2007. The provider is doing business as Brandon Pain Clinic.
Where is George Sidhom MD PA located?
George Sidhom MD PA is located at 722 Bowing Oak Dr, Brandon, FL 33511. The listed phone number is (813) 684-7246.
What is George Sidhom MD PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is George Sidhom MD PA enrolled in Medicare?
Yes. George Sidhom MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through George Sidhom MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to George Sidhom MD PA, in Anesthesiology and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does George Sidhom MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 10D1096369) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does George Sidhom MD PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list George Sidhom MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for George Sidhom MD PA was last updated on April 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brandon Pain Clinic · NPI 1336336130
Specialist organization in Brandon, Florida. Organization record, active in the CMS NPPES registry since September 26, 2007.
## Identity
- **NPI:** 1336336130 (Entity type: Organization)
- **Enumerated:** September 26, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** George Sidhom Md Pa
- **Organization subpart:** No
- **Authorized official:** Jean Sidhom, BILLING/OFFICE MANAGER
## Practice location
- **Address:** 722 BOWING OAK DR, Brandon, FL 33511-5974
- **Phone:** (813) 684-7246 · **Fax:** (813) 684-0453
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (1), Physical Medicine and Rehabilitation (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2013
- **Other identifiers:** Medicare PIN K2338; Other 97788
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336336130) · Data from the CMS NPPES public registry.