Active NPI
Virginia Brain and Spine Center Inc
- Neurological Surgery Physician
- Winchester, VA
National Provider Identifier
1245490309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- VIRGINIA BRAIN AND SPINE CENTER INC
- Practice address
- 1818 Amherst St
Winchester, VA 22601-2869 - Phone
- (540) 450-0072
- Fax
- (540) 450-0074
- NPI assigned
- Jun 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James B Chadduck, MD
- Title
- Partner
- Phone
- (540) 450-0072
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
1818 Amherst St
Winchester, VA 22601-2869
Mailing address
1818 Amherst St
Winchester, VA 22601-2869
Phone (540) 450-0072
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810012551 | Medicaid | WV | |
| 1245490309 | Medicaid | VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1098151 | Virginia Brain and Spine Center, Inc | Certificate of waiver | Apr 12, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Winchester, VA
- NPI 1215917414
-
- Pain Medicine (Anesthesiology) Physician
- West Des Moines, IA
- NPI 1891904660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224028800000",
"number": "1245490309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 AMHERST ST",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012869",
"telephone_number": "540-450-0072",
"fax_number": "540-450-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 AMHERST ST",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012869",
"telephone_number": "540-450-0072",
"fax_number": "540-450-0074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA BRAIN AND SPINE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-12",
"last_updated": "2008-10-15",
"status": "A",
"authorized_official_last_name": "CHADDUCK",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "540-450-0072",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810012551",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245490309",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.