PHYSICIANS PAIN MANAGEMENT CENTER INC. NPI 1477574408

NPI Information

  • NPI: 1477574408
  • Provider Name: PHYSICIANS PAIN MANAGEMENT CENTER, INC.
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 1244 BROADWAY
    RAYNHAM, MA
    ZIP 02767
  • Phone: (508) 824-0035

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NPI Details

PHYSICIANS PAIN MANAGEMENT CENTER, INC. is an interventional pain medicine pain medicine in Raynham, MA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. PHYSICIANS PAIN MANAGEMENT CENTER, INC. NPI is 1477574408. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1244 BROADWAY
RAYNHAM, MA
ZIP 02767-973
Phone: (508) 824-0035
Fax: (508) 823-6127

The provider's authorized official is Cameron Govonlu .
The authorized official title is President and has the following contact phone number (508) 824-0035.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 9/23/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M21102MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

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: 11/21/2025

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