Back Pain Center, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BACK PAIN CENTER, INC.

Practice address

2516 Mascoutah Ave
Belleville, IL 62220-3468

Phone

(618) 233-4200

Fax

(618) 233-3428

NPI assigned

Feb 28, 2006

Last updated

Aug 22, 2020By 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

Dr. Jason Christopher Walker, D.C.NPI 1174599138

Title

Owner

Phone

(618) 233-4200

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Jason Christopher Walker, D.C.

  • Chiropractor
  • O'Fallon, IL
  • NPI 1174599138
  NPD (past) Authorized official
• Patricia Burhanna, ANP, RN

  • Adult Health Nurse Practitioner
  • Belleville, IL
  • NPI 1902846199
  NPD (past)
• Michael E Mandis, MD

  • Internal Medicine Physician
  • Maryville, IL
  • NPI 1821065764
  NPD (past)
• Elizabeth Ann Jones, M.D.

  • Family Medicine Physician
  • Perryville, MO
  • NPI 1700822533
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285600247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 MASCOUTAH AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203468",
            "telephone_number": "618-233-4200",
            "fax_number": "618-233-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 MASCOUTAH AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203468",
            "telephone_number": "618-233-4200",
            "fax_number": "618-233-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK PAIN CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-233-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Awad
• Jan Axelbaum, MD
• Mark Christopher Azar, D.D.S., M.S.
• Glen S Babich, MD
• Ann Marie Bachmann, MSW, LCSW, EDD
• Omer M Badahman, MD
• Amira Mary Bahu, MD
• Allison Kathleen Baldwin, M.S., CCC-SLP
• Joshua Baldwin, PHARMD
• Natasha D Bancroft, AGACNP

• Internal Medicine Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.