Provider Demographics
NPI:1396628699
Name:US PAIN RELIEF PLLC
Entity type:Organization
Organization Name:US PAIN RELIEF PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:BERNARDINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD/ANES/PM
Authorized Official - Phone:631-926-8330
Mailing Address - Street 1:5055 PLAINFIELD AVE NE STE C
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-1075
Mailing Address - Country:US
Mailing Address - Phone:616-489-7246
Mailing Address - Fax:616-489-1489
Practice Address - Street 1:5055 PLAINFIELD AVE NE STE C
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-1075
Practice Address - Country:US
Practice Address - Phone:616-489-7246
Practice Address - Fax:616-489-1489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-26
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty