OrganizationActive
Brentwood Painstop LLC
NPI 1225548290 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Saint Louis, MO
Provider details
- NPI number
- 1225548290
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Nicholas Divan, Chiropractor
- License
- 2014010441 (MO)
Practice location
8045 Big Bend Blvd Ste 107
Saint Louis, MO 63119-2714
Phone: (314) 961-7181
Mailing address
8045 Big Bend Blvd Ste 107
Saint Louis, MO 63119-2714
Registry dates
- Enumerated
- 2017-10-04
- Last updated
- 2017-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.