Provider Demographics
NPI:1265317614
Name:NEWBRIDGE SPINE AND PAIN CENTER, LLC
Entity type:Organization
Organization Name:NEWBRIDGE SPINE AND PAIN CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-651-3986
Mailing Address - Street 1:3581 OLD WASHINGTON RD STE F
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-3270
Mailing Address - Country:US
Mailing Address - Phone:301-638-4400
Mailing Address - Fax:301-638-2200
Practice Address - Street 1:3581 OLD WASHINGTON RD STE F
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-3270
Practice Address - Country:US
Practice Address - Phone:301-638-4400
Practice Address - Fax:301-638-2200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty