Organization Active NPI

Bellevue Pain and Wellness PLLC

  • Pain Medicine Physician
  • Bellevue, WA
National Provider Identifier
1740822139
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
BELLEVUE PAIN AND WELLNESS PLLC
Practice address
14550 NE 29TH PL Ste 230
Bellevue, WA 98007-3630
Phone
(425) 998-7884
NPI assigned
Oct 17, 2019
Last updated
Aug 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Robert Bowers, M.D.NPI 1114217908
Title
Owner
Phone
(425) 998-7884

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) Physician 207LP2900X NU
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

14550 NE 29TH PL Ste 230
Bellevue, WA 98007-3630

Mailing address

14450 NE 29TH PL Ste 230
Bellevue, WA 98007-8616
Phone (425) 998-7884

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.bellevuepainwellness.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191203000640 WA Part B Supplier - Clinic/Group Practice 8729411970 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Locations

14450 NE 29th Pl
Ste 230
Bellevue, WA 98007
Phone (206) 452-2091

Practitioners & affiliated clinicians

Practitioners 4

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": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1740822139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14450 NE 29TH PL STE 230",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980078616",
            "telephone_number": "425-998-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 NE 29TH PL STE 230",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073630",
            "telephone_number": "425-998-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE PAIN AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-998-7884",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.bellevuepainwellness.com",
            "affiliation": "N",
            "address_1": "14550 NE 29th Pl Ste 230",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980073630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.