Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Professional Pain Management, SC

Organization Anesthesiology Physician · NPI 1790964435

Professional Pain Management, SC is an Anesthesiology Physician in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

225 S Executive Dr
Brookfield, WI 53005-4257
Phone: (262) 787-4026
Fax: (262) 782-6040
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Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 23846-20 (WI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 23846-20 (WI)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 23846 (WI)

Record details

NPI number1790964435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Purtock — President · (262) 787-4026
NPI enumeratedOctober 30, 2007
Last updated in NPPESOctober 30, 2007
Mailing address225 S Executive Dr, Brookfield, WI 53005-4257

Other providers in Brookfield