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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VITALITY PAIN MANAGEMENT LLC
NPI 1780463653
Pain Medicine - Interventional Pain Medicine in Lexington, KY

Active since September 28, 2023CLIA 18D2292171 · Certificate of Compliance
2700 OLD ROSEBUD RD STE 330, LEXINGTON, KY 40509(859) 523-1776(859) 788-7150 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2026, Jun 5, 2026, Mar 10, 2026 and 1 more (4 updates tracked since 2026).

About Vitality Pain Management Llc NPPES

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

VITALITY PAIN MANAGEMENT LLC (NPI 1780463653) is a healthcare organization registered as an interventional pain medicine in Lexington, Kentucky and active in the NPI registry since September 2023. The organization holds a CLIA Certificate of Compliance certificate valid through March 24, 2027 and lists David Bosomworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1780463653
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameVITALITY PAIN MANAGEMENT LLC
Location Address2700 OLD ROSEBUD RD STE 330Lexington, KY 40509-8630
Mailing Address2700 Old Rosebud Rd Ste 330Lexington, KY 40509-8630 · (859) 523-1776 · Fax (859) 788-7150
Phone(859) 523-1776
Fax(859) 788-7150
Organization SubpartNo
Authorized OfficialDavid BosomworthOwner · (859) 523-1776
Enumeration DateSeptember 28, 2023
Last NPPES UpdateSeptember 17, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1780463653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2700 OLD ROSEBUD RD STE 330, Lexington, KY 40509
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Other Identifiers 2

Medicaid7101149000KY
Medicaid7100951130KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Compliance 18D2292171

Vitality Pain Management, LLC · Lexington, KY
Active · expires Mar 24, 2027
CLIA Number18D2292171
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorMr. Grant Bennett
Laboratory Phone(502) 290-7246
Laboratory LocationVitality Pain Management, LLC2700 Old Rosebud Road, Suite 330, Lexington, KY 40509
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

DR. DAVID P BOSOMWORTH II MD
Pain Medicine (Interventional Pain Medicine)
2700 OLD ROSEBUD RD STE 330
LEXINGTON, KY 40509
Fayette County (859) 523-1776
LOUIE N WILLIAMS MD
Physical Medicine & Rehabilitation
2700 OLD ROSEBUD RD STE 330
LEXINGTON, KY 40509
Fayette County (859) 523-1776
SOMER K MITCHELL APRN
Nurse Practitioner (Adult Health)
2700 OLD ROSEBUD RD STE 330
LEXINGTON, KY 40509
Fayette County (859) 523-1776
PREFERRED INJURY PHYSICIANS LLC
Family Medicine
2700 OLD ROSEBUD RD STE 330
LEXINGTON, KY 40509
Fayette County (812) 962-7890

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 Vitality Pain Management LLC's NPI number?

The NPI number for Vitality Pain Management LLC is 1780463653. It was assigned to this organization in the NPPES registry on September 28, 2023.

Where is Vitality Pain Management LLC located?

Vitality Pain Management LLC is located at 2700 Old Rosebud Rd Ste 330, Lexington, KY 40509. The listed phone number is (859) 523-1776.

What is Vitality Pain Management LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Vitality Pain Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D2292171) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vitality Pain Management LLC was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.