Organization Active NPI

US Pain Relief PLLC

  • Interventional Pain Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1396628699
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
US PAIN RELIEF PLLC
Practice address
5055 Plainfield Ave NE Ste C
Grand Rapids, MI 49525-1075
Phone
(616) 489-7246
Fax
(616) 489-1489
NPI assigned
Jul 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Donald J Bernardini, MD/ANES/PMNPI 1568643120
Title
Chief Medical Officer
Phone
(631) 926-8330

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
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

5055 Plainfield Ave NE Ste C
Grand Rapids, MI 49525-1075

Mailing address

5055 Plainfield Ave NE Ste C
Grand Rapids, MI 49525-1075
Phone (616) 489-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250929002537 MI Part B Supplier - Clinic/Group Practice 5496251522 Receives reassigned benefits from 2 practitioners
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1753488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1396628699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 PLAINFIELD AVE NE STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251075",
            "telephone_number": "616-489-7246",
            "fax_number": "616-489-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 PLAINFIELD AVE NE STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251075",
            "telephone_number": "616-489-7246",
            "fax_number": "616-489-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US PAIN RELIEF PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-26",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "BERNARDINI",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "631-926-8330",
        "authorized_official_credential": "MD/ANES/PM"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.