Organization Active NPI

Bacas Interventional Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1659736973
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
L4253 Issued in TX
Legal business name
BACAS INTERVENTIONAL PAIN MANAGEMENT, LLC
Practice address
3838 N Sam Houston Pkwy E
Houston, TX 77032-3400
Phone
(844) 342-2227
Fax
(713) 401-9758
NPI assigned
Dec 31, 2015
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Nelson K Bond, MDNPI 1548208192
Title
MD
Phone
(844) 342-2227

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Interventional Pain Medicine Physician 208VP0014X ME111629 FL
Interventional Pain Medicine Physician 208VP0014X L4253 TX Primary

Addresses

Primary practice location

3838 N Sam Houston Pkwy E
Houston, TX 77032-3400

Mailing address

3838 N Sam Houston Pkwy E Ste 325
Houston, TX 77032-3400
Phone (844) 342-2227

Other identifiers 5

IdentifierTypeStateIssuer
45D2057171OtherCLIA
8FL159OtherTXBLUE CROSS BLUE SHIELD
7339911OtherTXAETNA
1927384OtherTXUNITED HEALTHCARE
6465986OtherTXCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161018002973 TX Part B Supplier - Clinic/Group Practice 4183912587 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20240921000534 NV Part B Supplier - Clinic/Group Practice 4183912587 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory
Tax ID family
Bacas Interventional Pain Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3425 Cliff Shadows Pkwy
Ste 150
Las Vegas, NV 89129
Phone (702) 845-9989

200 Renaissance Way
Crockett, TX 75835
Phone (936) 243-6568

3838 N Sam Houston Pkwy E
Houston, TX 77032
Phone (713) 695-6200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1659736973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N SAM HOUSTON PKWY E STE 325",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770323400",
            "telephone_number": "844-342-2227",
            "fax_number": "713-401-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N SAM HOUSTON PKWY E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770323400",
            "telephone_number": "844-342-2227",
            "fax_number": "713-401-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACAS INTERVENTIONAL PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "844-342-2227",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME111629",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "L4253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2057171",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8FL159",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7339911",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1927384",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6465986",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.