Regenerative Medicine Center, PLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

REGENERATIVE MEDICINE CENTER, PLC

Practice address

11800 Sunrise Valley Drive
Suite 500
Reston, VA 20191-5327

Phone

(703) 709-1383

Fax

(703) 709-6516

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Nancy Goldbranson

Title

Practice Administrator

Phone

(703) 709-6515

Specialties & licenses 1

Addresses

Other names 1

• Pain Management Center of Virginia, PLC Former legal business name

Locations

Practitioners 1

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

• Niteesh Bharara, MD

  • Interventional Pain Medicine Physician
  • Reston, VA
  • NPI 1144480989
  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1578744801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SUNRISE VALLEY DRIVE",
            "address_2": "SUITE 500",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915327",
            "telephone_number": "703-709-1383",
            "fax_number": "703-709-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SUNRISE VALLEY DRIVE",
            "address_2": "SUITE 500",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915327",
            "telephone_number": "703-709-1383",
            "fax_number": "703-709-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE MEDICINE CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "GOLDBRANSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-709-6515"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Management Center of Virginia, PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rediclinic of VA, LLC
• Mehrin Redjaeian, LPN
• Nina Marie Redlin
• Alexander Bramwell Reed, MD
• James D Reeves, M.D.
• Regenerative Orthopedics and Sports Medicine, LLC
• Rehab N Motion
• Brooke Reid
• Bridget M Reiser, LPC
• Jacqueline Lyle Reist, LPC

• Ambulatory Surgical Clinic/Center in Reston, VA
• Providers in Reston, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.