# ADVANCED SPINE AND PAIN CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Spine and Pain Centers, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235877358
- **Authorized official:** BRIAN LEE MD (OWNER)
- **Authorized official phone:** (410) 698-2665

## Contact information

- **Practice address:** 450 GARRISONVILLE RD STE 109, STAFFORD, VA 22554-1615
- **Practice address phone:** (703) 522-2727
- **Practice address fax:** (703) 542-3753
- **Mailing address:** 217 E CHURCHVILLE RD, BEL AIR, MD 21014-3825
- **Mailing address phone:** (410) 698-2665
- **Mailing address fax:** (443) 815-4758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/27/2022
- **Last updated:** 05/27/2022