Healthcare Provider Details

I. General information

NPI: 1992225387
Provider Name (Legal Business Name): 3B PAIN MANGEMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2017
Last Update Date: 05/12/2020
Certification Date: 05/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 LOUIS DR STE 202
WARMINSTER PA
18974-2847
US

IV. Provider business mailing address

600 LOUIS DR STE 202
WARMINSTER PA
18974-2847
US

V. Phone/Fax

Practice location:
  • Phone: 215-957-5400
  • Fax:
Mailing address:
  • Phone: 215-957-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License NumberMD067744L
License Number StatePA

VIII. Authorized Official

Name: BRIAN BAYZICK
Title or Position: OWNER
Credential:
Phone: 215-957-5400