NPIMap

Organization Active NPI

Advanced Spine and Pain LLC

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1356950653
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ADVANCED SPINE AND PAIN LLC
Practice address
2525 W Greenway Rd Ste 125
Phoenix, AZ 85023-4226
Phone
(480) 640-0513
NPI assigned
Jul 23, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Abram BurgherNPI 1942274105
Title
MD, Owner
Phone
(480) 640-0513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 45

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

View all 45

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
03D2225610Advanced Spine and Pain2525 W Greenway Rd Ste 125, Phoenix, AZ 85023RegistrationNov 9, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20201102000020 AZ Part B Supplier - Clinic/Group Practice 0941610075 Receives reassigned benefits from 35 practitioners
Practice locations: Surprise, AZ; Sun City, AZ; Goodyear, AZ; Queen Creek, AZ; Prescott Valley, AZ; Phoenix, AZ; Peoria, AZ; Mesa, AZ…
O20201204001932 AZ DME Supplier - Physician - Anesthesiology 0941610075 Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

3655 W Anthem Way
Ste 129
Anthem, AZ 85086

2563 S Val Vista Dr
Ste 1
Gilbert, AZ 85295

2563 S Val Vista Dr
Ste 101A
Gilbert, AZ 85295
Phone (480) 573-0213

333 W Thomas Rd
Ste 204
Phoenix, AZ 85013

7201 N Dreamy Draw Dr
Phoenix, AZ 85020

2526 W Greenway Rd Ste 125
Phoenix, AZ 85023

2525 W Greenway Rd
Ste 230
Phoenix, AZ 85023
Phone (480) 573-0886

2525 W Greenway Rd
Ste 215
Phoenix, AZ 85023

2525 W Greenway Rd
#125
Phoenix, AZ 85023

2525 W Greenway Rd
Ste 2440
Phoenix, AZ 85023

7201 N Dreamy Draw Dr
Ste 200
Phoenix, AZ 85020

2820 N Glassford Hill Rd
Ste 100
Prescott Vly, AZ 86314
Phone (520) 775-5606

22719 S Ellsworth Rd
Bldg C
Queen Creek, AZ 85142

Specialties & licenses 10

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

NPPES NPI Registry

Primary practice location

2525 W Greenway Rd Ste 125
Phoenix, AZ 85023-4226

Mailing address

2525 W Greenway Rd Ste 125
Phoenix, AZ 85023-4226
Phone (480) 640-0513

Other practice location 1

3655 W Anthem Way # 129
Anthem, AZ 85086-0430
Phone (480) 573-0130

Other practice location 2

2525 W Greenway Rd Ste 240
Phoenix, AZ 85023-4281
Phone (480) 573-0130

Other practice location 3

22719 S Ellsworth Rd Ste 1010
Queen Creek, AZ 85142-6128
Phone (480) 573-0130

Other practice location 4

2820 N Glassford Hill Rd
Prescott Valley, AZ 86314-1242
Phone (480) 573-0130

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2025.

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1356950653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W GREENWAY RD STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234226",
            "telephone_number": "480-640-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W GREENWAY RD STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234226",
            "telephone_number": "480-640-0513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3655 W Anthem Way # 129",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850860430",
            "country_code": "US",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 W Greenway Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850234281",
            "country_code": "US",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22719 S Ellsworth Rd Ste 1010",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851426128",
            "country_code": "US",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 N Glassford Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863141242",
            "country_code": "US",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED SPINE AND PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "BURGHER",
        "authorized_official_first_name": "ABRAM",
        "authorized_official_title_or_position": "MD, OWNER",
        "authorized_official_telephone_number": "480-640-0513"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.