Balanced Care Pain Center PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

BALANCED CARE PAIN CENTER PLLC

Practice address

1405 S Douglas Blvd
Midwest City, OK 73130-5267

Phone

(405) 455-5778

NPI assigned

Jan 20, 2022

Last updated

Jan 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlie Brickman, DC

Title

Owner

Phone

(405) 455-5778

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

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.

• Charles Austin Brickman, D.C.

  • Chiropractor
  • Midwest City, OK
  • NPI 1629392311
  Medicare reassignment Care Compare group NPD
• Joe Angel Silva Jr.

  • Chiropractor
  • Midwest City, OK
  • NPI 1982935185
  Medicare reassignment Care Compare group NPD
• Bobby Lee Moore Jr., DPT

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1770246688
  Medicare reassignment NPD

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1285386318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305267",
            "telephone_number": "405-455-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED CARE PAIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "BRICKMAN",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-455-5778",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Baker
• Mary Louise Baker
• Tiffany A Baker, PHARM. D.
• Jacob Dylan Bakewell, COTA/L
• Balanced Care Chiropractic PLLC
• Bob Baldwin, O.D.
• Donna Lynn Baldwin
• Jared Baldwin
• Ball, Incorporated
• Kayla Bankes

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.