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Interventional Spine and Pain Institute LLC

Interventional Pain Medicine Physician in Vero Beach, FL · enumerated 2022 · authorized official Phaedra Shudra, Credentialing & Contracting Spec.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134880487

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Registry record

Entity type Organization (Type 2)
Legal business name Interventional Spine and Pain Institute LLC
Practice address 777 37th St Ste C101, Vero Beach, FL, 32960
Phone (908) 303-8044
Enumeration date Jan 7, 2022
Last updated in NPPES Sep 26, 2025

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Secondary
207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians Secondary
207RH0002X Hospice and Palliative Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Phaedra Shudra
Title Credentialing & Contracting Spec
Phone (813) 785-4861

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Interventional Spine and Pain Institute LLC?
Interventional Spine and Pain Institute LLC is registered in NPPES as a Interventional Pain Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-26.