Organization Active NPI

Advanced Medical Sports and Spine, PLLC

  • Interventional Pain Medicine Physician
  • Culpeper, VA
National Provider Identifier
1447545827
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
0102202833 Issued in VA
Legal business name
ADVANCED MEDICAL SPORTS AND SPINE, PLLC
Practice address
2002 Orange Rd
Suite 201
Culpeper, VA 22701-4170
Phone
(540) 423-6239
NPI assigned
Jun 14, 2011
Last updated
Apr 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Dr. Daniel Eli Halpert, D.O.NPI 1720283898
Title
President
Phone
(540) 423-6239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 0102202833 VA
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 0102202833 VA
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 0102202833 VA
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 0102202833 VA Primary

Addresses

Primary practice location

2002 Orange Rd
Suite 201
Culpeper, VA 22701-4170

Mailing address

2002 Orange Rd
Suite 201
Culpeper, VA 22701-4170
Phone (540) 423-6239

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110627000002 VA Part B Supplier - Clinic/Group Practice 6103004965 Receives reassigned benefits from 1 practitioner
Practice locations: Culpeper, VA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2036810Advanced Medical Sports and Spine2002 Orange Road - Suite 201, Culpeper, VA 22701ComplianceJan 17, 2028

National Provider Directory

National Provider Directory

Locations

2002 Orange Rd
Ste 201
Culpeper, VA 22701
Phone (540) 423-6239

420 Southridge Pkwy
Ste 108
Culpeper, VA 22701
Phone (347) 341-9448

541 Sunset Ln
Ste 102
Culpeper, VA 22701
Phone (347) 341-9448

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1447545827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 ORANGE RD",
            "address_2": "SUITE 201",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227014170",
            "telephone_number": "540-423-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 ORANGE RD",
            "address_2": "SUITE 201",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227014170",
            "telephone_number": "540-423-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL SPORTS AND SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "HALPERT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ELI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-423-6239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0102202833",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0102202833",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "VA",
            "license": "0102202833",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0102202833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.