Prime Pain Specialists LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

MD446378 Issued in PA

Legal business name

PRIME PAIN SPECIALISTS LLC

Practice address

301 S 7TH St
Suite 310
Reading, PA 19602-2432

Phone

(610) 568-5078

NPI assigned

Mar 13, 2017

Organization subpart

No

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

Authorized official

Name

Akintomi Olugbodi, MD

Title

Owner

Phone

(610) 568-5078

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1790226595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 7TH ST",
            "address_2": "SUITE 310",
            "city": "READING",
            "state": "PA",
            "postal_code": "196022432",
            "telephone_number": "610-568-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 7TH ST",
            "address_2": "SUITE 310",
            "city": "READING",
            "state": "PA",
            "postal_code": "196022432",
            "telephone_number": "610-568-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PAIN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "OLUGBODI",
        "authorized_official_first_name": "AKINTOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-568-5078",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD446378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Elizabeth Price, FNP
• Jared Austin Price, PT,DPT
• Katelyn Price, PHARMD, RPH
• Mitchell A Price, DC
• Prime Choice Home Care LLC
• Prospectus Associates, Inc.
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• Prostat, Inc.
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• Pain Medicine Physician in Reading, PA
• Providers in Reading, PA by specialty
• Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.