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NEWBRIDGE SPINE AND PAIN CENTER, LLC
NPI 1619852068
Specialist in Prince Frederick, MD

Active since August 06, 2025CLIA 21D2022377 · Waiver
80 SHERRY LN STE 101, PRINCE FREDERICK, MD 20678(410) 414-9229(410) 414-9339 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 1619852068) is a healthcare organization registered as a specialist in Prince Frederick, Maryland and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Debra Turner, Coo, as its authorized official.

NPPES Registry Identity

NPI1619852068
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEWBRIDGE SPINE AND PAIN CENTER, LLC
Location Address80 SHERRY LN STE 101Prince Frederick, MD 20678-3232
Mailing Address80 Sherry Ln Ste 101Prince Frederick, MD 20678-3232 · (410) 414-9229 · Fax (410) 414-9339
Phone(410) 414-9229
Fax(410) 414-9339
Organization SubpartNo
Authorized OfficialDebra TurnerCoo · (240) 651-3986
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1619852068 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.
80 SHERRY LN STE 101, Prince Frederick, MD 20678
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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 21D2022377

Newbridge Spine And Pain Center, LLC · Prince Frederick, MD
Active · expires Mar 31, 2027
CLIA Number21D2022377
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDr. Mruthyunjaya Gonchigar
Laboratory Phone(410) 414-9229
Laboratory LocationNewbridge Spine And Pain Center, LLC80 Sherry Lane Suite 101, Prince Frederick, MD 20678
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

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

PRIVIA MEDICAL GROUP, LLC
Pain Medicine (Pain Medicine)
80 SHERRY LN STE 101
PRINCE FREDERICK, MD 20678
Calvert County (410) 414-9229

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 1619852068. 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 80 Sherry Ln Ste 101, Prince Frederick, MD 20678. The listed phone number is (410) 414-9229.

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 21D2022377) is associated with this NPI, valid through March 31, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.