Life Balance Pain Care

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

LIFE BALANCE PAIN CARE

Practice address

285 Boulevard NE Ste 345a
Atlanta, GA 30312-4205

Phone

(404) 275-3121

Fax

(404) 480-3876

NPI assigned

Nov 2, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brad Scott Bootstaylor, MD

Title

Employee

Phone

(404) 275-3121

Specialties & licenses 1

Addresses

Other names 1

• Life Balance Pain Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradford Bootstaylor, M.D.

  • Pain Medicine Physician
  • Atlanta, GA
  • NPI 1497798854
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1003523721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 345A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124205",
            "telephone_number": "404-275-3121",
            "fax_number": "404-480-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 345A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124205",
            "telephone_number": "404-275-3121",
            "fax_number": "404-480-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE PAIN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "BOOTSTAYLOR",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "404-275-3121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Balance Pain Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debbie Lieberman, LCSW
• Julia Margaret Lieberman
• Jason E Liebzeit, MD
• William Lieppe, M.D.
• Alvaro Lievano
• Life Begins Here Therapeutic & Counseling Services, LLC
• Life Bridge Dental Ga LLC
• Life Changes Counseling and Consultant Services, LLC
• Life Cycle OB/GYN, LLC
• Life Development & Health Services Corporation

• Pain Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.