Brain, Spine and Pain Institute of Virginia LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRAIN, SPINE AND PAIN INSTITUTE OF VIRGINIA LLC

Practice address

603 W Broad St Ste 200
Falls Church, VA 22046-3259

Phone

(443) 839-4889

NPI assigned

Sep 24, 2024

Organization subpart

No

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

Authorized official

Name

Gilbert Ochieng Mbeo

Title

Medical Director

Phone

(407) 721-3460

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1104643972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 WILLOW OAKS CORPORATE DR STE 600",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314516",
            "telephone_number": "443-839-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 W BROAD ST STE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463259",
            "telephone_number": "443-839-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN, SPINE AND PAIN INSTITUTE OF VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "MBEO",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "OCHIENG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-721-3460"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Boyd, CRNA
• Michael Boyle, MD
• Laura A Bozlinski, CRNA
• Bianca Lara Bozzo, M.ED. IN COUNSELING
• Jennifer Anne Bradbury, RN, IBCLC
• Brainstorm Consulting LLC
• Nancy Branberg, PT
• Myra K Branch, CRNA
• Lauren Brandt, PH.D.
• Braner Clinic

• Clinic/Center in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.