# CAROLINA PAIN CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982129136
- **Authorized official:** DR. STEVEN KENNETH BROCKMAN MD PHD (PHYSICAN/OWNER)
- **Authorized official phone:** (704) 481-7713

## Contact information

- **Practice address:** 1112 YANCEY ST, SHELBY, NC 28150-3672
- **Practice address phone:** (704) 481-7713
- **Practice address fax:** (704) 481-7663
- **Mailing address:** 1112 YANCEY ST, SHELBY, NC 28150-3672
- **Mailing address phone:** (704) 481-7713
- **Mailing address fax:** (704) 235-1971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 33212 | NC | Yes |
| 208VP0000X | Pain Medicine Physician | 33212 | NC | — |

## Other

- **Enumeration date:** 08/09/2017
- **Last updated:** 04/23/2019