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COASTAL VIRGINIA SPINE AND PAIN CENTER LLC
NPI 1114496734
Pain Medicine - Interventional Pain Medicine in Virginia Beach, VA

Active since November 14, 2018
4525 SOUTH BLVD STE 200, VIRGINIA BEACH, VA 23452(757) 227-3820(757) 226-9021 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 27, 2022, Aug 25, 2022, Nov 14, 2018 (3 updates tracked since 2018).

About Coastal Virginia Spine And Pain Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL VIRGINIA SPINE AND PAIN CENTER LLC (NPI 1114496734) is a healthcare organization registered as an interventional pain medicine in Virginia Beach, Virginia and active in the NPI registry since November 2018. The organization lists Amanda Ward, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1114496734
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCOASTAL VIRGINIA SPINE AND PAIN CENTER LLC
Location Address4525 SOUTH BLVD STE 200Virginia Beach, VA 23452-1147
Mailing AddressPo Box 2546Virginia Beach, VA 23450-2546 · (757) 340-3489 · Fax (757) 340-4278
Phone(757) 227-3820
Fax(757) 226-9021
Organization SubpartNo
Authorized OfficialAmanda WardCredentialing Manager · (757) 340-3489
Enumeration DateNovember 14, 2018
Last NPPES UpdateOctober 27, 20223 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
✔ NPI 1114496734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
4525 SOUTH BLVD STE 200, Virginia Beach, VA 23452
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BONNIE JEAN NOCK DO
Physical Medicine & Rehabilitation (Pain Medicine)
4525 SOUTH BLVD STE 200
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 227-3820
MRS. KATHRYN G BRAGG PT
Physical Therapist
4525 SOUTH BLVD STE 200
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 227-3820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Virginia Spine And Pain Center LLC's NPI number?

The NPI number for Coastal Virginia Spine And Pain Center LLC is 1114496734. It was assigned to this organization in the NPPES registry on November 14, 2018.

Where is Coastal Virginia Spine And Pain Center LLC located?

Coastal Virginia Spine And Pain Center LLC is located at 4525 South Blvd Ste 200, Virginia Beach, VA 23452. The listed phone number is (757) 227-3820.

What is Coastal Virginia Spine And Pain Center LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Coastal Virginia Spine And Pain Center LLC was last updated on October 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.