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NPISignal

Individual Healthcare Provider

Bradford Bootstaylor, M.D.

NPI Record: ActivePain Medicine — Pain Medicine
NPI1497798854
Atlanta, Georgia

Provider's NPPES record last updated: October 28, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1497798854
Primary Specialty
Pain Medicine — Pain Medicine
Practice Location
Atlanta, Georgia
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:56 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pain Medicine

    Pain Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

    Taxonomy code 208VP0000X
  • Obstetrics & Gynecology

    Maternal & Fetal Medicine

    Allopathic & Osteopathic Physicians

    An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

    Taxonomy code 207VM0101X

Provider-Reported License Information

Pain Medicine (Georgia)
041733
Obstetrics & Gynecology (Georgia)
041733
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

600 W Peachtree St Nw

Suite 500

Atlanta, Georgia 30308-3607

Phone: (404) 475-0816

Record Information

Enumeration Date
June 14, 2006
Provider's NPPES Record Last Updated
October 28, 2022
Certification Date
October 28, 2022
NPISignal NPPES Dataset
August 2026

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