OrganizationActive
Revive Pain Solutions Grand Rapids
NPI 1962393306 · Interventional Pain Medicine Physician · Grand Rapids, MI
Provider details
- NPI number
- 1962393306
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Basch, Supervising Physician(616) 822-1509
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6140 28th St Se Ste 105
Grand Rapids, MI 49546-6938
Phone: (616) 822-1509
Street-level locationGet directions
Mailing address
6140 28th St Se Ste 105
Grand Rapids, MI 49546-6938
Other names (DBA / former)
- Doing business as
- Revive Pain Solutions Grand Rapids
Registry dates
- Enumerated
- 2025-07-14
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.