Active NPI
Pain Doctors
- Interventional Pain Medicine Physician
- Baltimore, MD
National Provider Identifier
1447617238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- PAIN DOCTORS
- Practice address
- 4300 Belair Rd
Suite a
Baltimore, MD 21206-6300 - Phone
- (443) 768-8758
- NPI assigned
- Jan 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Burdman, DC
- Title
- Partner
- Phone
- (443) 768-8758
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
4300 Belair Rd
Suite a
Baltimore, MD 21206-6300
Mailing address
4300 Belair Rd
Suite a
Baltimore, MD 21206-6300
Phone (410) 325-7246
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0116572 00 | Medicaid | MD | |
| 528855 | Other | MD | MEDICARE GROUP |
National Provider Directory
National Provider DirectoryLocations
4300 Belair Rd
Ste A
Baltimore, MD 21206
Phone (410) 325-2100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Baltimore, MD
- NPI 1689814568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488153600000",
"number": "1447617238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 BELAIR RD",
"address_2": "SUITE A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212066300",
"telephone_number": "410-325-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 BELAIR RD",
"address_2": "SUITE A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212066300",
"telephone_number": "443-768-8758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN DOCTORS",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-25",
"last_updated": "2017-02-27",
"status": "A",
"authorized_official_last_name": "BURDMAN",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "443-768-8758",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"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": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0116572 00",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "528855",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.