PHENIX CITY PAIN MANAGEMENT
NPI 1356630792
Pain Medicine - Pain Medicine in Phenix City, AL

Active since April 06, 2011CLIA 01D2027720 · Waiver
1810 STADIUM DR STE 140, PHENIX CITY, AL 36867(334) 214-4616(334) 214-4618 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 23, 2023, Dec 3, 2019 (2 updates tracked since 2019).

About Phenix City Pain Management NPPES

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

PHENIX CITY PAIN MANAGEMENT (NPI 1356630792) is a healthcare organization registered as a pain medicine in Phenix City, Alabama and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through July 28, 2027 and lists Bill Gene Berryman, Physician, as its authorized official.

NPPES Registry Identity

NPI1356630792
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NamePHENIX CITY PAIN MANAGEMENT
Location Address1810 STADIUM DR STE 140Phenix City, AL 36867-3178
Mailing Address1810 Stadium DrPhenix City, AL 36867-3177 · (334) 664-1969 · Fax (888) 391-2191
Fax(334) 214-4618
Organization SubpartNo
Authorized OfficialBill Gene BerrymanPhysician · (334) 214-4616
Enumeration DateApril 6, 2011
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
NPI 1356630792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License Licensed in AL · 26975
Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

1810 STADIUM DR STE 140, Phenix City, AL 36867

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2027720

Phenix City Pain Management · Phenix City, AL
Active · expires Jul 28, 2027
CLIA Number01D2027720
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorBill G. Berryman MD
Laboratory Phone(334) 664-1969
Laboratory LocationPhenix City Pain Management1810 Stadium Drive #140, Phenix City, AL 36867
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356630792, enumerated as an "organization" on April 06, 2011.

The provider is located at 1810 STADIUM DR STE 140 PHENIX CITY, AL 36867 and the phone number is (334) 214-4616.

Pain Medicine with taxonomy code 208VP0000X.