NPIMap

Organization Active NPI

Blue Water Pain Solutions, PA

  • Pain Medicine (Anesthesiology) Physician
  • Pembroke Pines, FL
National Provider Identifier
1316352545
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
BLUE WATER PAIN SOLUTIONS, PA
Practice address
2010 NW 150TH Ave Ste 100
Pembroke Pines, FL 33028-2888
Phone
(954) 447-5206
Fax
(954) 447-5259
NPI assigned
Jun 26, 2014
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Dr. Lowell S. Davis, D.O.NPI 1114907409
Title
President
Phone
(954) 447-5206

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
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

2010 NW 150TH Ave Ste 100
Pembroke Pines, FL 33028-2888

Mailing address

2010 NW 150TH Ave Ste 100
Pembroke Pines, FL 33028-2888
Phone (954) 447-5206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150330001869 FL Part B Supplier - Clinic/Group Practice 0143547232 Receives reassigned benefits from 13 practitioners
3 other NPIs on this enrollment
Practice locations: Weston, FL; Plantation, FL; Pembroke Pines, FL; Miramar, FL; Boca Raton, FL; Hollywood, FL; Lauderdale Lakes, FL
O20160609002618 FL DME Supplier - Physician - Osteopathic Manipulative Medicine 0143547232 Practice locations: Pembroke Pines, FL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1047170Blue Water Pain Solutions2010 NW 150TH Avenue Suite 100, Pembroke Pines, FL 33028Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory

Locations

1951 SW 172nd Ave
Ste 212
Miramar, FL 33029
Phone (954) 507-4494

1951 SW 172nd Ave
Ste 314
Miramar, FL 33029
Phone (549) 447-5206

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1316352545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 NW 150TH AVE STE 100",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282888",
            "telephone_number": "954-447-5206",
            "fax_number": "954-447-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 NW 150TH AVE STE 100",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282888",
            "telephone_number": "954-447-5206",
            "fax_number": "954-447-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATER PAIN SOLUTIONS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-447-5206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.