Phenix City Pain Management

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

26975 Issued in AL

Legal business name

PHENIX CITY PAIN MANAGEMENT

Practice address

1810 Stadium Dr Ste 140
Phenix City, AL 36867-3178

Phone

(334) 214-4616

Fax

(334) 214-4618

NPI assigned

Apr 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Bill Gene Berryman, MDNPI 1669588463

Title

Physician

Phone

(334) 214-4616

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3514/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bill G Berryman, M.D

  • Pain Medicine Physician
  • Phenix City, AL
  • NPI 1669588463
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1356630792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 STADIUM DR",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368673177",
            "telephone_number": "334-664-1969",
            "fax_number": "888-391-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 STADIUM DR STE 140",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368673178",
            "telephone_number": "334-214-4616",
            "fax_number": "334-214-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENIX CITY PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "BERRYMAN",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "334-214-4616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AL",
            "license": "26975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phenix City Convenient Care
• Phenix City Counseling Center LLC
• Phenix City Elite Rehab Solutions LLC
• Phenix City Health Care, LLC
• Phenix City Joint & Rehab, LLC
• Phenix City Pulmonary & Critical Care, P.C.
• Phenix City Spine & Joint Ctr.
• Phenix Speech and Language Services
• Phenixfootcare
• Physical Therapy of Phenix City, PC

• Pain Medicine Physician in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Pain Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.