Active NPI
Pain, Spine & Rehab, P.a.
- Physical Medicine & Rehabilitation Physician
- Great Bend, KS
National Provider Identifier
1710215546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 04-31344
- 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, 2009
- 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
- Bell M Razafindrabe, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063414605 | Other | INDIV NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- Great Bend, KS
- NPI 1063414605
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.