Organization Active NPI

Western Oklahoma Pain Specialists LLC

  • Interventional Pain Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1013702539
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
WESTERN OKLAHOMA PAIN SPECIALISTS LLC
Practice address
301 SW 80TH St
Oklahoma City, OK 73139-8124
Phone
(405) 601-4227
Fax
(405) 601-4237
NPI assigned
Apr 14, 2025
Organization subpart
Yes
Parent organization
WESTERN OKLAHOMA PAIN SPECIALISTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Brian E Blick, DONPI 1992143051
Title
Owner
Phone
(580) 339-8001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

301 SW 80TH St
Oklahoma City, OK 73139-8124

Mailing address

PO Box 659506
San Antonio, TX 78265-9506
Phone (580) 339-8001

Other names 1

  • Comprehensive Spine & Pain Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250606003479 OK DME Supplier - Physician - Interventional Pain Management 0446511448 Practice locations: Oklahoma City, OK

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1097116Western Oklahoma Pain Specialists301 SW 80TH Street, Oklahoma City, OK 73139AccreditationApr 12, 2028
37D2309682Western Oklahoma Pain Specialists301 SW 80TH St, Oklahoma City, OK 73139Certificate of waiverAug 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Western Ok Pain Specs LLC2 organizations share this tax ID, including this one
Part of
Western Ok Pain Specs LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1013702539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659506",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782659506",
            "telephone_number": "580-339-8001",
            "fax_number": "580-339-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SW 80TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398124",
            "telephone_number": "405-601-4227",
            "fax_number": "405-601-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN OKLAHOMA PAIN SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN OKLAHOMA PAIN SPECIALISTS LLC",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "BLICK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-339-8001",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Spine & Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.