Newbridge Spine and Pain Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NEWBRIDGE SPINE AND PAIN CENTER, LLC

Practice address

80 Sherry LN Ste 101
Prince Frederick, MD 20678-3232

Phone

(410) 414-9229

Fax

(410) 414-9339

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

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

CLIA laboratory certificates

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
  • Waldorf, MD
  • NPI 1265317614
  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": "1619852068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SHERRY LN STE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783232",
            "telephone_number": "410-414-9229",
            "fax_number": "410-414-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SHERRY LN STE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783232",
            "telephone_number": "410-414-9229",
            "fax_number": "410-414-9339"
        }
    ],
    "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": []
}

• Yelena Naydich, M.AC.
• Neibauer Dental Care, PC
• Deborah Anne Nelson, LCPC
• Melissa Nelson
• Sarah Elizabeth Nessel
• Newbridge Surgery Center at Prince Frederick, LLC
• Stacey Virginia Newman, LCSW-C
• Stephanie Randolph Newman, MS, LCPC, LCADC
• Nicholson Endodontics LLC
• Heather Nicolle, BCBA, LBA

• Specialist in Prince Frederick, MD
• Providers in Prince Frederick, 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.
• 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.