Brentwood Painstop LLC
NPI 1225548290ActiveOrganization· Physical Medicine & Rehabilitation, Pain Medicine· Saint Louis, MO
Physical Medicine & Rehabilitation, Pain Medicine in Saint Louis, Missouri, registered in NPPES in October 2017. The authorized official on file is Nicholas J. Divan, DC, Chiropractor.
Overview
| NPI | 1225548290 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2017 |
| Last updated in NPPES | Oct 4, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation, Pain Medicine Primary | 2081P2900X | 2014010441 | MO |
| Case Manager/Care Coordinator | 171M00000X | 2014010441 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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