NPIMap

Organization Active NPI

Rocky Mountain Pain Management LLC

  • Interventional Pain Medicine Physician
  • Casper, WY
National Provider Identifier
1528270782
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
7671A Issued in WY
Legal business name
ROCKY MOUNTAIN PAIN MANAGEMENT LLC
Practice address
419 S Washington St
Ste 201
Casper, WY 82601-2951
Phone
(866) 356-4040
Fax
(303) 736-4147
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Bradley D Vilims, MDNPI 1881664944
Title
Owner
Phone
(866) 356-4040

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 7671A WY
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 7671A WY Primary

Addresses

Primary practice location

419 S Washington St
Ste 201
Casper, WY 82601-2951

Mailing address

3600 S Yosemite St
Ste 330
Denver, CO 80237-1812
Phone (303) 268-4040

Other identifiers 1

IdentifierTypeStateIssuer
06139001OtherWYBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3600 S Yosemite St
Ste 330
Denver, CO 80237

Practitioners & affiliated clinicians

Practitioners 3

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1528270782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S YOSEMITE ST",
            "address_2": "STE 330",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371812",
            "telephone_number": "303-268-4040",
            "fax_number": "303-736-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S WASHINGTON ST",
            "address_2": "STE 201",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012951",
            "telephone_number": "866-356-4040",
            "fax_number": "303-736-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "VILIMS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-356-4040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WY",
            "license": "7671A",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WY",
            "license": "7671A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "06139001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.