Active NPI
Comprehensive Pain Medicine, Inc.
- Specialist
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- COMPREHENSIVE PAIN MEDICINE, INC.
- Practice address
- 510 Corday St
Pensacola, FL 32503-2021 - Phone
- (850) 969-9804
- Fax
- (850) 475-1472
- NPI assigned
- Apr 20, 2006
- Last updated
- Jun 17, 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
- Dr. Ruben Berrocal Timmons, M.D.
- Title
- Medical Director
- Phone
- (850) 968-9804
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
510 Corday St
Pensacola, FL 32503-2021
Mailing address
510 Corday St
Pensacola, FL 32503-2021
Phone (850) 969-9804
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39810 | Other | FL | BCBS GROUP NUMBER |
| 529600860 | Medicaid | AL | |
| 372440900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1034 Mar Walt Dr
Unit 300
Ft Walton Bch, FL 32547
Phone (850) 315-9363
928A Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 969-9804
1040 Gulf Breeze Pkwy
Ste 205
Gulf Breeze, FL 32561
Phone (850) 469-0642
12815 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 269-0111
3754 Highway 90
Ste 120
Pace, FL 32571
Phone (850) 994-1883
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.
-
- Surgical Physician Assistant
- Pensacola, FL
- NPI 1366436362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245196800000",
"number": "1881659704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 CORDAY ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032021",
"telephone_number": "850-969-9804",
"fax_number": "850-475-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 CORDAY ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032021",
"telephone_number": "850-969-9804",
"fax_number": "850-475-1472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE PAIN MEDICINE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-20",
"last_updated": "2009-06-17",
"status": "A",
"authorized_official_last_name": "TIMMONS",
"authorized_official_first_name": "RUBEN",
"authorized_official_middle_name": "BERROCAL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "850-968-9804",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "39810",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529600860",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372440900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
- Compassionate Caregivers, LLC
- Complete Pain Management PA
- Complete Pain Management, PL
- Comprehensive Orthopaedics of the Gulf Coast, LLC
- Comprehensive Pain Medicine Inc
- Comprehensive Pain Services PLLC
- Pablo Concepcion, MD
- Barry M Concool, MD
- Concura Inc. (CareMinders Home Care)
- Edward G Condon III, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.