Newbridge Spine and Pain Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NEWBRIDGE SPINE AND PAIN CENTER, LLC

Practice address

3581 Old Washington Rd Ste F
Waldorf, MD 20602-3270

Phone

(301) 638-4400

Fax

(301) 638-2200

NPI assigned

Aug 6, 2025

Organization subpart

No

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

Authorized official

Name

Debra Turner

Title

Coo

Phone

(240) 651-3986

Specialties & licenses 1

Addresses

Tax ID family

Newbridge Spine and Pain Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Newbridge Spine and Pain Center, LLC

  • Specialist
  • Prince Frederick, MD
  • NPI 1619852068
  NPD tax ID

Practitioners 1

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

• Mruthyunjaya Gonchigar, M.D.

  • Pain Medicine Physician
  • Frederick, MD
  • NPI 1043275449
  NPD (past)

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1265317614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3581 OLD WASHINGTON RD STE F",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023270",
            "telephone_number": "301-638-4400",
            "fax_number": "301-638-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 OLD WASHINGTON RD STE F",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023270",
            "telephone_number": "301-638-4400",
            "fax_number": "301-638-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBRIDGE SPINE AND PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "240-651-3986"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Patrick Neville, D.C.
• New Beginnings Therapeutic Services LLC
• New Look Counseling LLC
• New Market Pharmact, LLC
• New Spring Behavioral Health LLC
• Newbridge Spine and Pain Center, LLC
• Newbridge Surgery Center at Waldorf
• Helena Newman, TEACHER
• Next Phase Global
• Bernice Chiamaka Ngere, RN

• Specialist in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.