Blue Hill Pain Care PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

51193 Issued in MA

Legal business name

BLUE HILL PAIN CARE PLLC

Doing business as

BHPC

Practice address

639 Granite St Ste 215
Braintree, MA 02184-5371

Phone

(781) 817-5383

Fax

(781) 817-5383

NPI assigned

Dec 3, 2013

Organization subpart

No

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

Authorized official

Name

Jeffrey S Jackel, MD

Title

Owner

Phone

(781) 817-5383

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BHPC Doing business as

Locations

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1861823783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 GRANITE ST STE 215",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845371",
            "telephone_number": "781-817-5383",
            "fax_number": "781-817-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 GRANITE ST STE 215",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845371",
            "telephone_number": "781-817-5383",
            "fax_number": "781-817-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HILL PAIN CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "JACKEL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-817-5383",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": "51193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001253",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHPC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Interventional Pain Medicine Physician in Braintree, MA
• Providers in Braintree, MA by specialty
• Interventional Pain Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.