Provider Type Icon

BLUEGRASS PAIN MANAGEMENT PSC NPI 1639263338


NPI Information

NPI: 1639263338
Provider Name: BLUEGRASS PAIN MANAGEMENT, PSC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1760 NICHOLASVILLE ROAD
SUITE 503
LEXINGTON, KY
ZIP 40503
Phone: (859) 275-5229
Get Directions

BLUEGRASS PAIN MANAGEMENT, PSC is an interventional pain medicine pain medicine in Lexington, KY. 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. BLUEGRASS PAIN MANAGEMENT, PSC NPI is 1639263338. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1760 NICHOLASVILLE ROAD
SUITE 503
LEXINGTON, KY
ZIP 40503
Phone: (859) 275-5229
Fax: (859) 977-2683

The provider's authorized official is David P Bosomworth .
The authorized official title is Owner and has the following contact phone number (859) 275-5229.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/25/2007.


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
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165941361MEDICAIDKENTUCKY
29174MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.