Vitality Pain Management Llc

LBN: Vitality Pain Management Llc
Vitality Pain Management Llc is an health care organization with primary practice located at 2700 Old Rosebud Rd Ste 330 , Lexington KY 40509-8630. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Vitality Pain Management Llc can be contacted via phone (859) 523-1776, or through Bosomworth, David via phone (859) 523-1776.

Contact Information

Primary practice address
2700 Old Rosebud Rd Ste 330 Lexington KY 40509-8630
Phone: (859) 523-1776
Fax: (859) 788-7150
Website:
Map and Directions
Authorized official contact:
Name: Bosomworth, David Doctor of Medicine (MD)
Phone: (859) 523-1776

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1780463653
LBN Legal business name Vitality Pain Management Llc
DBA Doing business as
Authorized official Bosomworth, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2023
Last updated Sep 17th, 2026 - about 2 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780463653 NPPES
Kentucky MEDICAID 7101149000
Kentucky MEDICAID 7100951130

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