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LIFEBRIDGE MEDICAL LLC NPI 1003589706


NPI Information

NPI: 1003589706
Provider Name: LIFEBRIDGE MEDICAL LLC
Classification: Pain Medicine - 208VP0000X
Entity Type: Organization

Specialization: Pain Medicine

Address:
1211 N SHARTEL AVE STE 801
OKLAHOMA CITY, OK
ZIP 73103
Phone: (405) 504-5433
Get Directions

LIFEBRIDGE MEDICAL LLC is a pain medicine pain medicine in Oklahoma City, OK. The provider is 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. LIFEBRIDGE MEDICAL LLC NPI is 1003589706. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1211 N SHARTEL AVE STE 801
OKLAHOMA CITY, OK
ZIP 73103-425
Phone: (405) 504-5433

The provider's authorized official is Lee Mac Germany .
The authorized official title is Physician Assistant Ceo and has the following contact phone number (405) 504-5433.

The enumeration date for this NPI number is 7/28/2021 and was last updated on 8/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171M00000XCase Manager/Care CoordinatorNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
3261QP3300XClinic/CenterPainNo
4363AM0700XPhysician AssistantMedicalNo
5208VP0000XPain MedicinePain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11770740680MEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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