Active NPI
Newbridge Spine and Pain Center LLC
- Specialist
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NEWBRIDGE SPINE AND PAIN CENTER LLC
- Practice address
- 196 Thomas Johnson Dr
Suite 215
Frederick, MD 21702-4397 - Phone
- (301) 668-9988
- Fax
- (301) 668-9977
- NPI assigned
- Dec 31, 2008
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
196 Thomas Johnson Dr
Suite 215
Frederick, MD 21702-4397
Mailing address
196 Thomas Johnson Dr
Suite 215
Frederick, MD 21702-4397
Phone (301) 668-9988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D1101650 | Newbridge Spine and Pain Center LLC | Certificate of waiver | Jun 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
196 Thomas Johnson Dr
Ste 215
Frederick, MD 21702
Phone (301) 668-9988
5330 Spectrum Dr
Ste I
Frederick, MD 21703
Phone (240) 396-4343
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Pain Medicine Physician
- Frederick, MD
- NPI 1043275449
-
- Nurse Practitioner
- Waldorf, MD
- NPI 1073686358
-
- Physician Assistant
- Bowie, MD
- NPI 1255762902
-
- Medical Physician Assistant
- Frederick, MD
- NPI 1477673622
-
- Physician Assistant
- Prince Frederick, MD
- NPI 1679821268
-
- Pain Medicine (Anesthesiology) Physician
- Portland, ME
- NPI 1053581058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754438400000",
"number": "1790921450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 THOMAS JOHNSON DR",
"address_2": "SUITE 215",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024397",
"telephone_number": "301-668-9988",
"fax_number": "301-668-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 THOMAS JOHNSON DR",
"address_2": "SUITE 215",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024397",
"telephone_number": "301-668-9988",
"fax_number": "301-668-9977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWBRIDGE SPINE AND PAIN CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-31",
"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": []
}
Other providers in Frederick, MD
Sources for this page
- 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 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.