Bluffs Pain Management LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

BLUFFS PAIN MANAGEMENT LLC

Practice address

201 Ridge Street
Suite 102
Council Bluffs, IA 51503

Phone

(712) 396-4359

Fax

(712) 396-4358

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Pam Smith

Title

Office Manager

Phone

(712) 322-5565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1487866075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 RIDGE ST",
            "address_2": "SUITE 102",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034643",
            "telephone_number": "712-322-5565",
            "fax_number": "712-322-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIDGE STREET",
            "address_2": "SUITE 102",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51503",
            "telephone_number": "712-396-4359",
            "fax_number": "712-396-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFFS PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "712-322-5565"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluffs Family Chiropractic, P.C.
• Bluffs Family Health Care PC
• Bluffs Foot Clinic, Inc.
• Bluffs Imaging Associates
• Bluffs OBGYN and Incontinence Ctr
• Bluffs Pain Management LLC
• Bluffs Taxi & Courier Inc
• Joan Marie Blum, A.R.N.P.
• Karen M Bober, D.D.S.
• Blake Michael Bodendorfer, M.D.

• All providers in Council Bluffs, IA
• Pain Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.