Provider Demographics
NPI:1770869232
Name:VERTEX SPINE AND PAIN, PLLC
Entity type:Organization
Organization Name:VERTEX SPINE AND PAIN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:P
Authorized Official - Last Name:RUPERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-550-8500
Mailing Address - Street 1:100 COVEY DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5665
Mailing Address - Country:US
Mailing Address - Phone:615-550-8500
Mailing Address - Fax:615-550-8501
Practice Address - Street 1:100 COVEY DR
Practice Address - Street 2:SUITE 103
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5665
Practice Address - Country:US
Practice Address - Phone:615-550-8500
Practice Address - Fax:615-550-8501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42716208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty