NPIMap

Organization Active NPI

Pain Center of the Blue Ridge

  • Physical Medicine & Rehabilitation Physician
  • Roanoke, VA
National Provider Identifier
1245644533
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0101046633 Issued in VA
Legal business name
PAIN CENTER OF THE BLUE RIDGE
Practice address
4521 Brambleton Ave
Suite 205
Roanoke, VA 24018
Phone
(540) 904-7771
Fax
(540) 904-7791
NPI assigned
Jun 16, 2014
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Murray E Joiner Jr., MDNPI 1477595973
Title
President
Phone
(540) 904-7771

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 0101046633 VA Primary

Addresses

Primary practice location

4521 Brambleton Ave
Suite 205
Roanoke, VA 24018

Mailing address

PO Box 21435
Roanoke, VA 24018
Phone (540) 904-7771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141120001709 VA Part B Supplier - Clinic/Group Practice 4486876703 Receives reassigned benefits from 20 practitioners
Practice locations: Covington, VA; Lynchburg, VA; Roanoke, VA; Wytheville, VA

National Provider Directory

National Provider Directory

Locations

1945 Thomson Dr
Lynchburg, VA 24501
Phone (434) 845-6664

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1245644533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21435",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-904-7771",
            "fax_number": "540-904-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 BRAMBLETON AVE",
            "address_2": "SUITE 205",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-904-7771",
            "fax_number": "540-904-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CENTER OF THE BLUE RIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "JOINER",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-904-7771",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101046633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.