NPIMap

Organization Active NPI

Western Oklahoma Pain Specialists LLC

  • Interventional Pain Medicine Physician
  • Edmond, OK
National Provider Identifier
1447045976
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
WESTERN OKLAHOMA PAIN SPECIALISTS LLC
Doing business as
Comprehensive Spine & Pain
Practice address
14041 N Eastern Ave
Edmond, OK 73013-5586
Phone
(580) 339-8001
Fax
(580) 339-8031
NPI assigned
Apr 14, 2025
Organization subpart
Yes
Parent organization
WESTERN OKLAHOMA PAIN SPECIALISTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Brian E Blick, DONPI 1992143051
Title
Owner
Phone
(580) 339-8001

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: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

14041 N Eastern Ave
Edmond, OK 73013-5586

Mailing address

PO Box 659506
San Antonio, TX 78265-9506
Phone (580) 339-8001

Other names 1

  • Comprehensive Spine & Pain Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250613003293 OK DME Supplier - Physician - Interventional Pain Management 0446511448 Practice locations: Edmond, OK

Other NPIs with the same Medicare PAC ID 2

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

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
37D2218794Western Oklahoma Pain Specialists14041 N Eastern Ave, Edmond, OK 73013Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Western Ok Pain Specs LLC2 organizations share this tax ID, including this one
Part of
Western Ok Pain Specs LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14041 N Eastern Ave
Edmond, OK 73013
Phone (405) 888-3893

916 19th St
Bldg B
Woodward, OK 73801
Phone (580) 967-1323

908 19th St
Ste 310
Woodward, OK 73801
Phone (580) 256-6033

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

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": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1447045976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659506",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782659506",
            "telephone_number": "580-339-8001",
            "fax_number": "580-339-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14041 N EASTERN AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135586",
            "telephone_number": "580-339-8001",
            "fax_number": "580-339-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN OKLAHOMA PAIN SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN OKLAHOMA PAIN SPECIALISTS LLC",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "BLICK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-339-8001",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Spine & Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.