Active NPI
Regenerative Medicine and Pain Management Physicians PLLC
- Interventional Pain Medicine Physician
- Gulf Breeze, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME42993
- Legal business name
- REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS PLLC
- Practice address
- 3406 Santa Rosa Dr
Gulf Breeze, FL 32563-5665 - Phone
- (850) 462-4544
- Fax
- (850) 777-3166
- NPI assigned
- Apr 13, 2017
- Last updated
- Jul 21, 2022
- 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
- Ruben Timmons, MD
- Title
- Owner
- Phone
- (850) 462-4544
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | ME42993 | FL | Primary |
Addresses
Primary practice location
3406 Santa Rosa Dr
Gulf Breeze, FL 32563-5665
Mailing address
PO Box 30332
Pensacola, FL 32503-1332
Phone (850) 462-4544
Other practice location 1
1549 Airport Blvd Ste 440
Pensacola, FL 32504-8634
Phone (850) 462-4544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1645 Nantahala Beach Rd
Gulf Breeze, FL 32563
Phone (850) 438-1136
3406 Santa Rosa Dr
Gulf Breeze, FL 32563
Phone (850) 462-4544
120 E Main St
Ste B
Pensacola, FL 32502
Phone (734) 389-5832
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Interventional Pain Medicine Physician
- Gulf Breeze, FL
- NPI 1376546572
-
- Family Nurse Practitioner
- Gulf Breeze, FL
- NPI 1730660051
-
- Pain Medicine Physician
- Flowood, MS
- NPI 1336257500
FL, Interventional Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1245764554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30332",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325031332",
"telephone_number": "850-462-4544",
"fax_number": "850-777-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3406 SANTA ROSA DR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325635665",
"telephone_number": "850-462-4544",
"fax_number": "850-777-3166"
}
],
"practiceLocations": [
{
"address_1": "1549 Airport Blvd Ste 440",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325048634",
"country_code": "US",
"telephone_number": "850-462-4544",
"fax_number": "850-777-3166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REGENERATIVE MEDICINE AND PAIN MANAGEMENT PHYSICIANS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-13",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "TIMMONS",
"authorized_official_first_name": "RUBEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-462-4544",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME42993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.