Spine and Orthopedic Pain Center

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

0101052700 Issued in VA

Legal business name

SPINE AND ORTHOPEDIC PAIN CENTER

Doing business as

Bragg Spine and Orthopedic Pain Center PC

Practice address

6160 Kempsville Circle
Suite 303a
Norfolk, VA 23502-3933

Phone

(757) 333-3360

Fax

(757) 961-8093

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Winifred D Bragg, MDNPI 1679543078

Title

Ceo President

Phone

(757) 333-3360

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bragg Spine and Orthopedic Pain Center PC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6119/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Winifred Diane Bragg, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Norfolk, VA
  • NPI 1679543078
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1376731596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIRCLE",
            "address_2": "SUITE 303A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-333-3360",
            "fax_number": "757-961-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIRCLE",
            "address_2": "SUITE 303A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-333-3360",
            "fax_number": "757-961-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND ORTHOPEDIC PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "757-333-3360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101052700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010209692",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bragg Spine and Orthopedic Pain Center PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keia T Spence, FNP-BC
• Lauren Bonney Spencer, DNP CRNA
• Mary Christine Spencer
• Sloane Alexandra Spencer, DDS
• David Richard Spiegel, MD
• Spineworks Physical Therapy LLC
• Spinewright, Inc. (Wright Chiropractic Clinic)
• Stephanie A Spingarn, MD
• Spirit ABA VA LLC
• Mary Spittle

• Physical Medicine & Rehabilitation Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Physical Medicine & Rehabilitation Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.