Provider Demographics
NPI:1093870024
Name:PRECISION PAIN MANAGEMENT CENTER, P.C.
Entity type:Organization
Organization Name:PRECISION PAIN MANAGEMENT CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BAYZICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-657-9393
Mailing Address - Street 1:600 LOUIS DR STE 202
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2847
Mailing Address - Country:US
Mailing Address - Phone:215-957-5400
Mailing Address - Fax:215-957-5401
Practice Address - Street 1:2325 MARYLAND RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1704
Practice Address - Country:US
Practice Address - Phone:215-657-9393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA111N00000X
PAMD0677442081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2791607000OtherKEYSTONE GRP DR. FERRARA
PA7402268OtherCIGNA DR. EAGAN
PA1205883139OtherNPI# DR. FERRARA
PA00950467Other00950467
PA1386758670OtherNPI# DR. EAGAN
PA2329279000OtherKEYSTONE INDV # DR. EAGAN
PA1062226OtherCIGNA ASHN DR. EAGAN
PA0872975000OtherKEYSTONE INDIVIDUAL ID#
PA2795219000OtherKEYSTONE GRP DR. EAGAN
PA001652570OtherHIGHMARK - DR. EAGAN
PA1231975OtherCIGNA DR. FERRARA
PA7402268OtherCIGNA DR. EAGAN