NPIMap

Organization Active NPI

Valley Physician Enterprise, Inc.

Doing business as Virginia Brain and Spine Valley Health

  • Neurological Surgery Physician
  • Winchester, VA
National Provider Identifier
1194387647
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
VALLEY PHYSICIAN ENTERPRISE, INC.
Doing business as
Virginia Brain and Spine Valley Health
Practice address
1818 Amherst St Ste 101
Winchester, VA 22601-2808
Phone
(540) 450-0072
NPI assigned
Jul 5, 2019
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY PHYSICIAN ENTERPRISE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Renee Nevada Johnson
Title
Credentialing Coordinator
Phone
(540) 536-0103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1818 Amherst St Ste 101
Winchester, VA 22601-2808

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2888
Phone (540) 536-5100

Other names 1

  • Virginia Brain and Spine Valley Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081104000278 VA Part B Supplier - Clinic/Group Practice 9931268091 Receives reassigned benefits from 494 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winchester, VA; Front Royal, VA; Woodstock, VA; Berryville, VA; Luray, VA; Maurertown, VA; New Market, VA; Mount Jackson, VA

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Part of
Valley Physician Enterprise

Locations

1818 Amherst St
Ste 100
Winchester, VA 22601
Phone (540) 450-0072

1818 Amherst St
Ste 101
Winchester, VA 22601
Phone (540) 450-0072

333 W Cork St
Ste 290
Winchester, VA 22601
Phone (540) 536-5121

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1194387647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012888",
            "telephone_number": "540-536-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 AMHERST ST STE 101",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012808",
            "telephone_number": "540-450-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHYSICIAN ENTERPRISE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY PHYSICIAN ENTERPRISE, INC.",
        "enumeration_date": "2019-07-05",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "NEVADA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "540-536-0103"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Brain and Spine Valley Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Virginia Brain and Spine Valley Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.