Body Regeneration Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BODY REGENERATION CENTER, LLC

Practice address

801 Roeder Rd
Suite 425
Silver Spring, MD 20910-4467

Phone

(301) 558-8088

Fax

(301) 558-8806

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Duane Clemons, CEO

Title

Chief Executive Officer

Phone

(301) 841-5191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1801089776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 LOWE LN",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207441439",
            "telephone_number": "301-265-0886",
            "fax_number": "301-265-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ROEDER RD",
            "address_2": "SUITE 425",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104467",
            "telephone_number": "301-558-8088",
            "fax_number": "301-558-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY REGENERATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "301-841-5191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Mern Bobb-Semple, LMSW
• Egberiama Bobmanuel
• Susan H Bock, MPT, MBA
• Eric Boco
• Madison Rose Bodiford
• Peryl Bogart, LCSW-C
• Dinga Boghuima
• Charles R Boice, MD
• Unique C. Bolden, LCPC
• Clare Savage Bolek

• Chiropractor in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.