Organization Active NPI

Pain, Spine & Rehab, P.a.

  • Physical Medicine & Rehabilitation Physician
  • Great Bend, KS
National Provider Identifier
1710215546
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
04-31344 Issued in KS
Legal business name
PAIN, SPINE & REHAB, P.A.
Practice address
925 Patton Road
Great Bend, KS 67530-4627
Phone
(620) 792-2991
Fax
(620) 792-3804
NPI assigned
Dec 7, 2009
Last updated
Dec 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Bell M Razafindrabe, MDNPI 1063414605
Title
Owner/President
Phone
(620) 792-2991

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
Physical Medicine & Rehabilitation Physician 208100000X 04-31344 KS Primary

Addresses

Primary practice location

925 Patton Road
Great Bend, KS 67530-4627

Mailing address

925 Patton Road
Great Bend, KS 67530-4627
Phone (620) 792-2991

Other identifiers 1

IdentifierTypeStateIssuer
1063414605OtherINDIV NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100114000755 KS Part B Supplier - Clinic/Group Practice 9335281245 Receives reassigned benefits from 1 practitioner
Practice locations: Great Bend, KS

National Provider Directory

National Provider Directory

Locations

925 S Patton Rd
Great Bend, KS 67530
Phone (620) 792-2991

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": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1710215546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 PATTON ROAD",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304627",
            "telephone_number": "620-792-2991",
            "fax_number": "620-792-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 PATTON ROAD",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304627",
            "telephone_number": "620-792-2991",
            "fax_number": "620-792-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN, SPINE & REHAB, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "RAZAFINDRABE",
        "authorized_official_first_name": "BELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "620-792-2991",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "04-31344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV NPI",
            "identifier": "1063414605",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.