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NEWBRIDGE SPINE AND PAIN CENTER, LLC
NPI 1265317614
Specialist in Waldorf, MD

Active since August 06, 2025CLIA 21D1101649 · Waiver
3581 OLD WASHINGTON RD STE F, WALDORF, MD 20602(301) 638-4400(301) 638-2200 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Newbridge Spine And Pain Center, Llc NPPES

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

NEWBRIDGE SPINE AND PAIN CENTER, LLC (NPI 1265317614) is a healthcare organization registered as a specialist in Waldorf, Maryland and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Debra Turner, Coo, as its authorized official.

NPPES Registry Identity

NPI1265317614
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEWBRIDGE SPINE AND PAIN CENTER, LLC
Location Address3581 OLD WASHINGTON RD STE FWaldorf, MD 20602-3270
Mailing Address3581 Old Washington Rd Ste FWaldorf, MD 20602-3270 · (301) 638-4400 · Fax (301) 638-2200
Phone(301) 638-4400
Fax(301) 638-2200
Organization SubpartNo
Authorized OfficialDebra TurnerCoo · (240) 651-3986
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1265317614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3581 OLD WASHINGTON RD STE F, Waldorf, MD 20602
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1101649

Newbridge Spine And Pain Center LLC · Waldorf, MD
Active · expires Jun 30, 2027
CLIA Number21D1101649
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorMruthyunjaya Gonchigar MD
Laboratory Phone(301) 638-4400
Laboratory LocationNewbridge Spine And Pain Center LLC3581 Old Washington Road Suite F, Waldorf, MD 20602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

NAURAS HWIG MD
Family Medicine (Sleep Medicine)
3581 OLD WASHINGTON RD STE F
WALDORF, MD 20602
Charles County (301) 638-4400
PRIVIA MEDICAL GROUP, LLC
Pain Medicine (Pain Medicine)
3581 OLD WASHINGTON RD STE F
WALDORF, MD 20602
Charles County (301) 638-4400

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 Newbridge Spine And Pain Center, LLC's NPI number?

The NPI number for Newbridge Spine And Pain Center, LLC is 1265317614. It was assigned to this organization in the NPPES registry on August 6, 2025.

Where is Newbridge Spine And Pain Center, LLC located?

Newbridge Spine And Pain Center, LLC is located at 3581 Old Washington Rd Ste F, Waldorf, MD 20602. The listed phone number is (301) 638-4400.

What is Newbridge Spine And Pain Center, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Newbridge Spine And Pain Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1101649) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Newbridge Spine And Pain Center, LLC was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.