Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryland Interventional Pain Management, LLC

Organization Chiropractor · NPI 1053670430

Maryland Interventional Pain Management, LLC is a Chiropractor in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2012.

Licensed in
MD
In the registry since
2012
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1147 S Hanover St
Baltimore, MD 21230-3717
Phone: (443) 725-4930
Fax: (443) 725-4933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 60828 (MD)
Chiropractor Taxonomy 111N00000X · Licence 3470 (MD)
Physician Assistant Taxonomy 363A00000X · Licence 3825 (MD)
Physician Assistant Taxonomy 363A00000X · Licence 3868 (MD)

Record details

NPI number1053670430
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMaryland Interventional Pain Management, LLC
Authorized official Timothy Gober — President · (443) 725-4930
Other names Baltimore Pain Relief Center
NPI enumeratedMay 7, 2012
Last updated in NPPESMay 7, 2012
Mailing address5430 Campbell Blvd, Suite 106, White Marsh, MD 21162-5500

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