INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC
NPI 1396526901
Pain Medicine - Interventional Pain Medicine in Palm Bay, FL

Q: What is Interventional Spine And Pain Institute LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since October 10, 2023

5200 BABCOCK ST NE STE 111, PALM BAY, FL 32905(772) 360-1997(772) 492-3541 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Interventional Spine And Pain Institute Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERVENTIONAL SPINE AND PAIN INSTITUTE LLC (NPI 1396526901) is a healthcare organization registered as an interventional pain medicine in Palm Bay, Florida and active in the NPI registry since October 2023. The organization lists Phaedra L Shudra, Credentialing And Contracting Speci, as its authorized official.

NPPES Registry Identity

NPI1396526901

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameINTERVENTIONAL SPINE AND PAIN INSTITUTE LLC

Location Address5200 BABCOCK ST NE STE 111Palm Bay, FL 32905-4639

Mailing Address777 37th St Ste C101Vero Beach, FL 32960-7301 · (772) 360-1997 · Fax (772) 492-3541

Phone(772) 360-1997

Fax(772) 492-3541

Organization SubpartNo

Authorized OfficialPhaedra L ShudraCredentialing And Contracting Speci · (813) 785-4861

Enumeration DateOctober 10, 2023

Last NPPES UpdateSeptember 26, 2025

NPPES CertifiedSeptember 26, 2025

✔ NPI 1396526901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

5200 BABCOCK ST NE STE 111, Palm Bay, FL 32905

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

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 Interventional Spine And Pain Institute LLC's NPI number?

The NPI number for Interventional Spine And Pain Institute LLC is 1396526901. It was assigned to this organization in the NPPES registry on October 10, 2023.

Where is Interventional Spine And Pain Institute LLC located?

Interventional Spine And Pain Institute LLC is located at 5200 Babcock St NE Ste 111, Palm Bay, FL 32905. The listed phone number is (772) 360-1997.

What is Interventional Spine And Pain Institute LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

What insurance does Interventional Spine And Pain Institute LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Interventional Spine And Pain Institute LLC 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 Interventional Spine And Pain Institute LLC was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.