MEDICARE: INTEGRATED PAIN SOLUTIONS PLLC

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QP3300X	Pain Clinic/Center
2	103K00000X	Behavior Analyst
3	208VP0014X	Interventional Pain Medicine Physician

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DD3525	OTHER	NC	MEDICARE ID UNSPECIFIED

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	016VH	OTHER	NC	NC BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1790728921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED PAIN SOLUTIONS PLLC

Provider Business Mailing Address
First Line	:	695 S BENNETT ST
Second Line	:
City	:	SOUTHERN PINES
State	:	NC
Zip	:	28387-5919
Country	:	US
Telephone Number	:	910-725-1708
Fax Number	:	910-725-1718

Provider Business Practice Location Address
First Line	:	695 S BENNETT ST
Second Line	:
City	:	SOUTHERN PINES
State	:	NC
Zip	:	28387-5919
Country	:	US
Telephone Number	:	910-725-1708
Fax Number	:	910-725-1718

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	LOUIS TORRES
Credential	:	MD
Telephone Number	:	910-687-4888

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	10/02/2025

673 S BENNETT ST
SOUTHERN PINES, NC
28387-5919

Practice Phone: 910-692-8272
Practice Fax: 910-692-4343