Nova Neuro Brain Center

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

Legal business name

NOVA NEURO BRAIN CENTER

Practice address

3910 Centreville Rd Ste 102
Chantilly, VA 20151-3280

Phone

(703) 758-1896

NPI assigned

Jun 18, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Forrest Joseph Fisher, DCNPI 1649770173

Title

Owner

Phone

(703) 881-1627

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Forrest Joseph Fisher

  • Neurology Chiropractor
  • Chantilly, VA
  • NPI 1649770173
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1063308682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 CENTREVILLE RD STE 102",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513280",
            "telephone_number": "703-758-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 CENTREVILLE RD STE 102",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513280",
            "telephone_number": "703-758-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA NEURO BRAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "FORREST",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-881-1627",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern VA BH LLC
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• Northern Virginia Natural Birth Center and Wellness Community
• Nova Clinical Counseling LLC
• Nova Medical Services,PLLC
• Nova Pain & Rehab Center, PLLC
• Nova Prime Physical Therapy PLLC
• Nova Senior Home Care Inc.
• Nova Therapy Lounge, LLC
• Katherine E Novak, BA

• Neurology Chiropractor in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Neurology Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.