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

Dr. Bao Tien Pham, DO

Individual provider Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1467445403

Dr. Bao Tien Pham, DO is a Pain Management in Jacksonville, Florida. Graduated from Philadelphia College of Osteopathic Medicine in 1988, 38 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
38
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
FL
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6816 Southpoint Pkwy Ste 302
Jacksonville, FL 32216-1700
Phone: (904) 527-3135
Fax: (904) 683-4293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence OS7296 (FL)

Record details

NPI number1467445403
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 24, 2005
Last updated in NPPESNovember 10, 2014
Mailing address5377 Commissioners Dr, Jacksonville, FL 32224-0830

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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