# INTERVENTIONAL PAIN SPECIALISTS OF BOWLING GREEN PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interventional Pain Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871952630
- **Authorized official:** ROBERT NORMAN CRNA (OWNER)
- **Authorized official phone:** (270) 745-7246

## Contact information

- **Practice address:** 825 2ND AVE, SUITE C6, BOWLING GREEN, KY 42101-1786
- **Practice address phone:** (270) 282-2024
- **Practice address fax:** (270) 282-2027
- **Mailing address:** PO BOX 2675, BOWLING GREEN, KY 42102-7675
- **Mailing address phone:** (270) 745-7246
- **Mailing address fax:** (270) 282-2027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 02/22/2016
- **Last updated:** 10/30/2023