1. Home
  2. Directory
  3. Texas
  4. College Station
  5. Physical Medicine Rehabilitation
  6. NPI Profile

INTERVENTIONAL SPINE AND PAIN ASSOCIATES BRAZOS VALLEY PLLC
NPI 1568108249
Physical Medicine & Rehabilitation - Pain Medicine in College Station, TX

Active since May 06, 2022CLIA 45D2268567 · Waiver
3106 TEXAS AVE S, COLLEGE STATION, TX 77845(979) 985-5489(979) 985-5489 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 17, 2022, May 6, 2022 (2 updates tracked since 2022).

About Interventional Spine And Pain Associates Brazos Valley Pllc NPPES

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

INTERVENTIONAL SPINE AND PAIN ASSOCIATES BRAZOS VALLEY PLLC (NPI 1568108249) is a healthcare organization registered as a pain medicine in College Station, Texas and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through September 13, 2026 and lists Ryan Whitmer, President, as its authorized official.

NPPES Registry Identity

NPI1568108249
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameINTERVENTIONAL SPINE AND PAIN ASSOCIATES BRAZOS VALLEY PLLC
Location Address3106 TEXAS AVE SCollege Station, TX 77845-5050
Mailing Address3106 Texas Ave SCollege Station, TX 77845-5050 · (979) 985-5489 · Fax (979) 985-5489
Phone(979) 985-5489
Fax(979) 985-5489
Organization SubpartNo
Authorized OfficialRyan WhitmerPresident · (903) 987-4909
Enumeration DateMay 6, 2022
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1568108249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
3106 TEXAS AVE S, College Station, TX 77845
Open in Google Maps ↗

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

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 Waiver 45D2268567

Interventional Spine And Pain Associates · College Station, TX
Active · expires Sep 13, 2026
CLIA Number45D2268567
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorRyan L. Whitmer
Laboratory Phone(979) 985-5489
Laboratory LocationInterventional Spine And Pain Associates3106 Texas Ave. S, College Station, TX 77845
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN WHITMER D.O.
Physical Medicine & Rehabilitation
3106 TEXAS AVE S
COLLEGE STATION, TX 77845
Brazos County (979) 985-5489
MRS. DANIELLE MAXINE PRINCE PA-C
Physician Assistant
3106 TEXAS AVE S
COLLEGE STATION, TX 77845
Brazos County (979) 693-1815

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 Associates Brazos Valley PLLC's NPI number?

The NPI number for Interventional Spine And Pain Associates Brazos Valley PLLC is 1568108249. It was assigned to this organization in the NPPES registry on May 6, 2022.

Where is Interventional Spine And Pain Associates Brazos Valley PLLC located?

Interventional Spine And Pain Associates Brazos Valley PLLC is located at 3106 Texas Ave S, College Station, TX 77845. The listed phone number is (979) 985-5489.

What is Interventional Spine And Pain Associates Brazos Valley PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Does Interventional Spine And Pain Associates Brazos Valley PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2268567) is associated with this NPI, valid through September 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Interventional Spine And Pain Associates Brazos Valley PLLC was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.