Brain and Body Regenerative Medicine

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BRAIN AND BODY REGENERATIVE MEDICINE

Practice address

3051 Valley Ave Ste 108
Winchester, VA 22601-2658

Phone

(540) 678-1212

Fax

(540) 678-1123

NPI assigned

Jan 16, 2020

Last updated

Jan 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evan Riggleman, DCNPI 1043560592

Title

Owner

Phone

(540) 678-1212

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evan C Riggleman, DC

  • Chiropractor
  • Winchester, VA
  • NPI 1043560592
  Authorized official Same address or phone
• Marygrace Christine Hajec, M.D.

  • Neurological Surgery Physician
  • Richmond, VA
  • NPI 1366766602
  NPD
• Erica K Riggleman, DC

  • Chiropractor
  • Winchester, VA
  • NPI 1518214048
  NPD (past)

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1073143228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 VALLEY AVE STE 108",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012658",
            "telephone_number": "540-678-1212",
            "fax_number": "540-678-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 VALLEY AVE STE 108",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012658",
            "telephone_number": "540-678-1212",
            "fax_number": "540-678-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN AND BODY REGENERATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "RIGGLEMAN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-678-1212",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Boyce, FNP-C
• Loretta A Boyd, MD
• Rhiannon Bradford
• Joy A Bradshaw, OT
• Brain & Body Health Center
• Holly Braithwaite, CSFA
• Jane Brajkovich, LPC
• Caroline Brand, OT
• Shonnet R Brand
• Brandon Coleman, DDS, PLLC

• Multi-Specialty Clinic/Center in Winchester, VA
• Providers in Winchester, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.