BRANDON PAIN CLINIC
NPI 1336336130
Specialist in Brandon, FL

Active since September 26, 2007CLIA 10D1096369 · Certificate of Compliance
722 BOWING OAK DR, BRANDON, FL 33511(813) 684-7246(813) 684-0453 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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

NPI1336336130
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGEORGE SIDHOM MD PA
Location Address722 BOWING OAK DRBrandon, FL 33511-5974
Mailing AddressPo Box 10478Brooksville, FL 34603-0478 · (813) 684-7246 · Fax (813) 684-0453
Fax(813) 684-0453
Organization SubpartNo
Authorized OfficialJean SidhomBilling/office Manager · (352) 688-6393
Enumeration DateSeptember 26, 2007
Last NPPES UpdateApril 3, 2013
✔ NPI 1336336130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
722 BOWING OAK DR, Brandon, FL 33511

Other Names 1

Doing Business AsBrandon Pain Clinic

Other Identifiers 2

Medicare PINK2338
Other97788Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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, FL
Active · expires May 11, 2028
CLIA Number10D1096369
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorDr. George S. Sidhom
Laboratory Phone(813) 684-7246
Laboratory LocationGeorge S Sidhom MD PA D/B/A Brandon Pain Clinic722 Bowing Oak Dr, Brandon, FL 33511
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently 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.

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.