BEDFORD INTERVENTIONAL PAIN CENTER, LLC
NPI 1023379211
Nurse Anesthetist, Certified Registered in Bedford, TX

Q: What is Bedford Interventional Pain Center, LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since June 04, 2012

1305 AIRPORT FWY, SUITE 103,, BEDFORD, TX 76021(972) 234-4740(817) 571-0897 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bedford Interventional Pain Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEDFORD INTERVENTIONAL PAIN CENTER, LLC (NPI 1023379211) is a healthcare organization registered as a nurse anesthetist, certified registered in Bedford, Texas and active in the NPI registry since June 2012. The organization lists Tracy Walls, Manager, as its authorized official.

NPPES Registry Identity

NPI1023379211

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameBEDFORD INTERVENTIONAL PAIN CENTER, LLC

Location Address1305 AIRPORT FWY, SUITE 103,Bedford, TX 76021-6605

Mailing AddressPo Box 674160Dallas, TX 75267-4160 · (972) 479-1115 · Fax (972) 346-8015

Phone(972) 234-4740

Fax(817) 571-0897

Organization SubpartNo

Authorized OfficialTracy WallsManager · (972) 234-4740

Enumeration DateJune 4, 2012

Last NPPES UpdateJune 6, 2016

✔ NPI 1023379211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedClinic/Center · PainTaxonomy 261QP3300X

1305 AIRPORT FWY, Bedford, TX 76021

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVINCI PAIN CENTER, LLC

Clinic/Center (Pain)

1305 AIRPORT FWY, SUITE 103
BEDFORD, TX 76021

Tarrant County (972) 234-4740

AMANDA DUTRO APRN, FNP-C

Nurse Practitioner (Family)

1305 AIRPORT FWY
BEDFORD, TX 76021

Tarrant County (817) 684-3500

SUSAN CAROL IMKE F.N.P.

Nurse Practitioner

1305 AIRPORT FWY, SUITE 205
BEDFORD, TX 76021

Tarrant County (817) 267-6290

SCOTT L GREENBERG MD

Internal Medicine (Clinical Cardiac Electrophysiology)

1305 AIRPORT FWY, 301
BEDFORD, TX 76021

Tarrant County (682) 223-9120

KENSINGTON INTERVENTIONAL PAIN CENTER, LLC

Clinic/Center (Pain)

1305 AIRPORT FWY, SUITE 103
BEDFORD, TX 76021

Tarrant County (972) 234-4740

DAVID BRIAN KANER DO

Internal Medicine

1305 AIRPORT FWY, STE 220
BEDFORD, TX 76021

Tarrant County (817) 358-5800

MUNAWAR HAIDER MD

Family Medicine

1305 AIRPORT FWY, STE 220
BEDFORD, TX 76021

Tarrant County (817) 358-5800

SLEEP ANALYSIS CENTERS OF TEXAS, LP

Clinical Medical Laboratory

1305 AIRPORT FWY, STE 410
BEDFORD, TX 76021

Tarrant County (405) 447-6017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bedford Interventional Pain Center, LLC's NPI number?

The NPI number for Bedford Interventional Pain Center, LLC is 1023379211. It was assigned to this organization in the NPPES registry on June 4, 2012.

Where is Bedford Interventional Pain Center, LLC located?

Bedford Interventional Pain Center, LLC is located at 1305 Airport Fwy Suite 103,, Bedford, TX 76021. The listed phone number is (972) 234-4740.

What is Bedford Interventional Pain Center, LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Bedford Interventional Pain Center, LLC was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.