1. Home
  2. Directory
  3. Virginia
  4. Mc Lean
  5. Internal Medicine
  6. NPI Profile

MIND BRIDGE CENTER LLC
NPI 1790304616
Internal Medicine - Addiction Medicine in Mc Lean, VA

Active since April 10, 2020
1390 CHAIN BRIDGE RD # 10033, MC LEAN, VA 22101(571) 766-8107 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mind Bridge Center Llc NPPES

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

MIND BRIDGE CENTER LLC (NPI 1790304616) is a healthcare organization registered as an addiction medicine in Mc Lean, Virginia and active in the NPI registry since April 2020. The organization lists Kurwa Nyigu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790304616
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameMIND BRIDGE CENTER LLC
Location Address1390 CHAIN BRIDGE RD # 10033Mc Lean, VA 22101-3904
Mailing Address1390 Chain Bridge Rd # 10033Mc Lean, VA 22101-3904 · (571) 766-8107
Phone(571) 766-8107
Organization SubpartNo
Authorized OfficialKurwa NyiguCeo · (336) 624-7164
Enumeration DateApril 10, 2020
NPPES CertifiedApril 10, 2020
✔ NPI 1790304616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
1390 CHAIN BRIDGE RD # 10033, Mc Lean, VA 22101
Open in Google Maps ↗

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

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 Mind Bridge Center LLC's NPI number?

The NPI number for Mind Bridge Center LLC is 1790304616. It was assigned to this organization in the NPPES registry on April 10, 2020.

Where is Mind Bridge Center LLC located?

Mind Bridge Center LLC is located at 1390 Chain Bridge Rd # 10033, Mc Lean, VA 22101. The listed phone number is (571) 766-8107.

What is Mind Bridge Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Mind Bridge Center LLC was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.