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REVIVE PAIN SOLUTIONS GRAND RAPIDS
NPI 1962393306
Pain Medicine - Interventional Pain Medicine in Grand Rapids, MI

Active since July 14, 2025
6140 28TH ST SE STE 105, GRAND RAPIDS, MI 49546(616) 822-1509 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive Pain Solutions Grand Rapids NPPES

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

REVIVE PAIN SOLUTIONS GRAND RAPIDS (NPI 1962393306) is a healthcare organization registered as an interventional pain medicine in Grand Rapids, Michigan and active in the NPI registry since July 2025. The organization lists Thomas M. Basch, Supervising Physician, as its authorized official.

NPPES Registry Identity

NPI1962393306
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameREVIVE PAIN SOLUTIONS GRAND RAPIDS
Location Address6140 28TH ST SE STE 105Grand Rapids, MI 49546-6938
Mailing Address6140 28th St Se Ste 105Grand Rapids, MI 49546-6938 · (616) 901-4218 · Fax (616) 616-7493
Phone(616) 822-1509
Organization SubpartNo
Authorized OfficialThomas M. BaschSupervising Physician · (616) 822-1509
Enumeration DateJuly 14, 2025
Last NPPES UpdateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1962393306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
6140 28TH ST SE STE 105, Grand Rapids, MI 49546
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Other Names 1

Doing Business AsRevive Pain Solutions Grand Rapids

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

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.

TRUCARE LTC, LLC
Pharmacy (Long Term Care Pharmacy)
6140 28TH ST SE STE 105
GRAND RAPIDS, MI 49546
Kent County (616) 965-7480
CET PHARMACY LTC LLC
Pharmacy (Long Term Care Pharmacy)
6140 28TH ST SE STE 105
GRAND RAPIDS, MI 49546
Kent County (734) 796-1534
CET PHARMACY LTC LLC
Pharmacy (Long Term Care Pharmacy)
6140 28TH ST SE STE 105
GRAND RAPIDS, MI 49546
Kent County (616) 965-7480
MR. TIMOTHY GIBSON DEAN
Marriage & Family Therapist
6140 28TH ST SE STE 105
GRAND RAPIDS, MI 49546
Kent County (616) 227-0585

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 Revive Pain Solutions Grand Rapids's NPI number?

The NPI number for Revive Pain Solutions Grand Rapids is 1962393306. It was assigned to this organization in the NPPES registry on July 14, 2025.

Where is Revive Pain Solutions Grand Rapids located?

Revive Pain Solutions Grand Rapids is located at 6140 28th St SE Ste 105, Grand Rapids, MI 49546. The listed phone number is (616) 822-1509.

What is Revive Pain Solutions Grand Rapids's specialty?

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

When was this NPI record last updated?

The NPPES record for Revive Pain Solutions Grand Rapids was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.