NEWBRIDGE SPINE AND PAIN CENTER LLC
NPI 1790921450
Specialist in Frederick, MD

Active since December 31, 2008
196 THOMAS JOHNSON DR, SUITE 215, FREDERICK, MD 21702(301) 668-9988(301) 668-9977 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 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 1790921450) is a healthcare organization registered as a specialist in Frederick, Maryland and active in the NPI registry since December 2008. The organization lists Debra Turner, Coo, as its authorized official.

NPPES Registry Identity

NPI1790921450
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEWBRIDGE SPINE AND PAIN CENTER LLC
Location Address196 THOMAS JOHNSON DR, SUITE 215Frederick, MD 21702-4397
Mailing Address196 Thomas Johnson Dr, Suite 215Frederick, MD 21702-4397 · (301) 668-9988 · Fax (301) 668-9977
Fax(301) 668-9977
Organization SubpartNo
Authorized OfficialDebra TurnerCoo · (240) 651-3986
Enumeration DateDecember 31, 2008
Last NPPES UpdateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1790921450 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.
196 THOMAS JOHNSON DR, Frederick, MD 21702

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Newbridge Spine And Pain Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Newbridge Spine And Pain Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Anesthesiology
NPI 1043275449
196 THOMAS JOHNSON DR SUITE 215
Frederick, MD 21702
(301) 668-9988
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1255509576
161 FORT EVANS RD NE SUITE 340
Leesburg, VA 20176
(703) 443-8000
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1073686358
3581 OLD WASHINGTON RD SUITE F
Waldorf, MD 20602
(301) 638-4400
✔ PECOS✔ Accepts Medicare63 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1790921450. It was assigned to this organization in the NPPES registry on December 31, 2008.

Where is Newbridge Spine And Pain Center LLC located?

Newbridge Spine And Pain Center LLC is located at 196 Thomas Johnson Dr Suite 215, Frederick, MD 21702. The listed phone number is (301) 668-9988.

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

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

Is Newbridge Spine And Pain Center LLC enrolled in Medicare?

Yes. Newbridge Spine And Pain Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Newbridge Spine And Pain Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Newbridge Spine And Pain Center LLC, in Anesthesiology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 14 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.