Boarders Multispecialty & Pain Clinic

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

BOARDERS MULTISPECIALTY & PAIN CLINIC

Practice address

24423 Southfield Rd Ste 120
Southfield, MI 48075-2864

Phone

(313) 510-8861

NPI assigned

Aug 24, 2021

Organization subpart

No

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

Authorized official

Name

Anthony Banks

Title

Owner

Phone

(313) 510-8861

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1376210807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480370035",
            "telephone_number": "313-510-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24423 SOUTHFIELD RD STE 120",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752864",
            "telephone_number": "313-510-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARDERS MULTISPECIALTY & PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-510-8861"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Pearl Wellness, PLLC
• Sol Blumenfeld, D.D.S.
• Garret Gordon Blunt
• Blush Senior Services
• Elissa F. Bluth, RD
• Tiffany M Boards, PSY.D LLP
• Dennis Samuel Boatwright Jr.
• Bobbi Edwards MD PC
• Marissa Bober
• Benjamin Bodman

• Pain Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Pain Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.