Newbridge Spine and Pain Center of Virginia LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NEWBRIDGE SPINE AND PAIN CENTER OF VIRGINIA LLC

Practice address

161 Fort Evans Rd NE
Suite 340
Leesburg, VA 20176-3369

Phone

(703) 443-8000

Fax

(703) 443-8100

NPI assigned

Oct 24, 2013

Organization subpart

No

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

Authorized official

Name

Mruthyunjaya Gonchigar, M.D.

Title

Owner/Physician

Phone

(301) 668-9988

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1952739203",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FORT EVANS RD NE",
            "address_2": "SUITE 340",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763369",
            "telephone_number": "703-443-8000",
            "fax_number": "703-443-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBRIDGE SPINE AND PAIN CENTER OF VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "GONCHIGAR",
        "authorized_official_first_name": "MRUTHYUNJAYA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "301-668-9988",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.