Active NPI
Dynamic Pain & Wellness PLLC
- Pain Medicine (Anesthesiology) Physician
- Pensacola, FL
National Provider Identifier
1194226225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- DYNAMIC PAIN & WELLNESS PLLC
- Practice address
- 4457 Bayou Blvd
Pensacola, FL 32503-2601 - Phone
- (850) 226-6801
- NPI assigned
- Feb 23, 2018
- Organization subpart
- Yes
- Parent organization
- DYNAMIC PAIN & WELLNESS PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Bailey
- Title
- Credentialing
- Phone
- (850) 331-2930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
4457 Bayou Blvd
Pensacola, FL 32503-2601
Mailing address
930 Mar Walt Drive
Unit C
Fort Walton Beach, FL 32547
Phone (850) 226-6801
National Provider Directory
National Provider Directory- Part of
- Dynamic Pain Wellness LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519344000000",
"number": "1194226225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 MAR WALT DRIVE",
"address_2": "UNIT C",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "32547",
"telephone_number": "850-226-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4457 BAYOU BLVD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032601",
"telephone_number": "850-226-6801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC PAIN & WELLNESS PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DYNAMIC PAIN & WELLNESS PLLC",
"enumeration_date": "2018-02-23",
"last_updated": "2018-02-23",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "850-331-2930"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.