Beckley Pain Clinic LLC – Specialist in Beckley, WV

Key facts

NPI: 1114236247
Entity type: Organization (NPI type 2)
Primary specialty: Specialist 174400000X
Legal business name: BECKLEY PAIN CLINIC LLC
Practice address: 1902 Harper Rd
Suite D
Beckley, WV 25801-2642
Phone: (304) 894-8817
NPI assigned: Oct 7, 2010
Organization subpart: No

Authorized official

Name: Dr. Prakash Puranik, MD
Title: President
Phone: (304) 237-2063

Practitioners 1

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

James Patrick Bressi, DO Interventional Pain Medicine Physician · Stow, OH · NPI 1659445690

NPD

National Provider Directory

Locations

1902 Harper Rd
Ste D
Beckley, WV 25801
Phone (304) 237-2063

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	174400000X			Yes

Addresses

Primary practice location

1902 Harper Rd
Suite D
Beckley, WV 25801-2642

Mailing address

1902 Harper Rd
Suite D
Beckley, WV 25801-2642
Phone (304) 894-8817

Other providers in Beckley, WV

All providers in Beckley, WV · Specialist in West Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.