Active NPI
Precision Pain Management Center, P.C.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Willow Grove, PA
National Provider Identifier
1093870024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- MD067744
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | PA | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2791607000 | Other | PA | KEYSTONE GRP DR. FERRARA |
| 7402268 | Other | PA | CIGNA DR. EAGAN |
| 1205883139 | Other | PA | NPI# DR. FERRARA |
| 00950467 | Other | PA | 00950467 |
| 1386758670 | Other | PA | NPI# DR. EAGAN |
| 2329279000 | Other | PA | KEYSTONE INDV # DR. EAGAN |
| 1062226 | Other | PA | CIGNA ASHN DR. EAGAN |
| 0872975000 | Other | PA | KEYSTONE INDIVIDUAL ID# |
| 2795219000 | Other | PA | KEYSTONE GRP DR. EAGAN |
| 001652570 | Other | PA | HIGHMARK - DR. EAGAN |
| 1231975 | Other | PA | CIGNA DR. FERRARA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Medical Physician Assistant
- Willow Grove, PA
- NPI 1356422182
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.