OrganizationActive
Interventional Pain Center, PLLC
NPI 1285976407 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Hendersonville, TN
Provider details
- NPI number
- 1285976407
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brad Wilson, President(615) 972-1100
- License
- DO0000002339 (TN)
Specialties & taxonomies
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081P2900XLicense DO0000002339 (TN)
Allopathic & Osteopathic Physicians
Practice location
353 New Shackle Island Rd Ste 148c
Hendersonville, TN 37075-2366
Phone: (615) 972-1000
Fax: (615) 537-4950
Approximate (ZIP-level) locationGet directions
Mailing address
353 New Shackle Island Rd
Hendersonville, TN 37075-2379
Registry dates
- Enumerated
- 2013-03-26
- Last updated
- 2023-10-17
- Certified
- 2023-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.