Organization Active NPI

Precision Pain Management Center, P.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Willow Grove, PA
National Provider Identifier
1093870024
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD067744 Issued in PA
Legal business name
PRECISION PAIN MANAGEMENT CENTER, P.C.
Practice address
2325 Maryland Rd
Suite 200
Willow Grove, PA 19090-1704
Phone
(215) 657-9393
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Brian M Bayzick
Title
Coo
Phone
(215) 657-9393

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X PA
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X MD067744 PA Primary

Addresses

Primary practice location

2325 Maryland Rd
Suite 200
Willow Grove, PA 19090-1704

Mailing address

600 Louis Dr Ste 202
Warminster, PA 18974-2847
Phone (215) 957-5400

Other identifiers 11

IdentifierTypeStateIssuer
2791607000OtherPAKEYSTONE GRP DR. FERRARA
7402268OtherPACIGNA DR. EAGAN
1205883139OtherPANPI# DR. FERRARA
00950467OtherPA00950467
1386758670OtherPANPI# DR. EAGAN
2329279000OtherPAKEYSTONE INDV # DR. EAGAN
1062226OtherPACIGNA ASHN DR. EAGAN
0872975000OtherPAKEYSTONE INDIVIDUAL ID#
2795219000OtherPAKEYSTONE GRP DR. EAGAN
001652570OtherPAHIGHMARK - DR. EAGAN
1231975OtherPACIGNA DR. FERRARA

National Provider Directory

National Provider Directory

Locations

375 Indian Creek Dr
Levittown, PA 19057
Phone (215) 537-9450

600 Louis Dr
Ste 202
Warminster, PA 18974
Phone (215) 957-5400

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1093870024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LOUIS DR STE 202",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742847",
            "telephone_number": "215-957-5400",
            "fax_number": "215-957-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 MARYLAND RD",
            "address_2": "SUITE 200",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901704",
            "telephone_number": "215-657-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PAIN MANAGEMENT CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "BAYZICK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "215-657-9393"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD067744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE GRP DR. FERRARA",
            "identifier": "2791607000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DR. EAGAN",
            "identifier": "7402268",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI# DR. FERRARA",
            "identifier": "1205883139",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "00950467",
            "identifier": "00950467",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI# DR. EAGAN",
            "identifier": "1386758670",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE INDV # DR. EAGAN",
            "identifier": "2329279000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ASHN DR. EAGAN",
            "identifier": "1062226",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE INDIVIDUAL ID#",
            "identifier": "0872975000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE GRP DR. EAGAN",
            "identifier": "2795219000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK - DR. EAGAN",
            "identifier": "001652570",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DR. FERRARA",
            "identifier": "1231975",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.