Healthcare Provider Details

I. General information

NPI: 1790651263
Provider Name (Legal Business Name): BLUFF CITY PAIN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5683 S REX RD
MEMPHIS TN
38119-3821
US

IV. Provider business mailing address

5683 S REX RD
MEMPHIS TN
38119-3821
US

V. Phone/Fax

Practice location:
  • Phone: 901-857-2852
  • Fax:
Mailing address:
  • Phone: 901-857-2852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HOWARD R BROMLEY
Title or Position: OWNER
Credential: MD
Phone: 901-857-2852