Northern Virginia Brain and Spine, Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

0101239215 Issued in VA

Legal business name

NORTHERN VIRGINIA BRAIN AND SPINE, INC

Practice address

46400 Benedict Dr
Suite 001
Sterling, VA 20164-6604

Phone

(703) 437-1160

Fax

(703) 437-1161

NPI assigned

Oct 25, 2006

Last updated

Sep 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anje Kim, M.D.

Title

Owner

Phone

(703) 437-1160

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1700960986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11654 PLAZA AMERICA DR",
            "address_2": "#528",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904700",
            "telephone_number": "703-437-1160",
            "fax_number": "703-437-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46400 BENEDICT DR",
            "address_2": "SUITE 001",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646604",
            "telephone_number": "703-437-1160",
            "fax_number": "703-437-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA BRAIN AND SPINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ANJE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-437-1160",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101239215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Sterling, VA
• Providers in Sterling, VA by specialty
• Neurological Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.