ADVANCED SPINE AND PAIN LLC — NPI 1356950653 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine in PHOENIX, AZ)

CMS-1500 Box 24J / 33a • NPI

1356950653

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208VP0014X (CMS 09)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine

Box 32 Service Location & ZIP+4

2525 W GREENWAY RD STE 125, PHOENIX, AZ, 85023-4226

✓ 9-Digit EDI 837 ZIP+4 (85023-4226)

Practice Phone & Referral Fax

(480) 640-0513

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1356950653 (ADVANCED SPINE AND PAIN LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1356950653` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED SPINE AND PAIN LLC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine NUCC Code: `208VP0014X` (Pain Medicine, Interventional Pain Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2525 W GREENWAY RD STE 125, PHOENIX, AZ, 85023-4226
Practice Telephone / Fax	Tel: (480) 640-0513
Administrative Mailing Address	2525 W GREENWAY RD STE 125, PHOENIX, AZ, 85023-4226
Enumeration & Last Sync	Enumerated: 2020-07-23 \| CMS Record Updated: 2025-07-09
Authorized Official	ABRAM BURGHER (MD, Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2525 W GREENWAY RD STE 125, PHOENIX, AZ, 85023-4226

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Plain-English Taxonomy & CMS Crosswalk (208VP0014X)

What Does Taxonomy Code 208VP0014X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208VP0014X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 09 (Physician/Interventional Pain Management)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pain Medicine, Interventional Pain Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED SPINE AND PAIN LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111N00000X` — Chiropractor Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor	State: N/A \| License: `Verified` \| Primary: Secondary
`207LP2900X` — Anesthesiology, Pain Medicine Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	State: N/A \| License: `Verified` \| Primary: Secondary
`207T00000X` — Neurological Surgery Plain English: Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`207X00000X` — Orthopaedic Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`208100000X` — Physical Medicine & Rehabilitation Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation	State: N/A \| License: `Verified` \| Primary: Secondary
`2085R0202X` — Radiology, Diagnostic Radiology Plain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: N/A \| License: `Verified` \| Primary: Secondary
`363A00000X` — Physician Assistant Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant	State: N/A \| License: `Verified` \| Primary: Secondary
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner	State: N/A \| License: `Verified` \| Primary: Secondary
`208VP0014X` — Pain Medicine, Interventional Pain Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED SPINE AND PAIN LLC (NPI #1356950653)