# SPINE AND ORTHOPEDIC PAIN CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bragg Spine and Orthopedic Pain Center PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376731596
- **Authorized official:** DR. WINIFRED D BRAGG MD (CEO PRESIDENT)
- **Authorized official phone:** (757) 333-3360

## Contact information

- **Practice address:** 6160 KEMPSVILLE CIRCLE, SUITE 303A, NORFOLK, VA 23502-3933
- **Practice address phone:** (757) 333-3360
- **Practice address fax:** (757) 961-8093
- **Mailing address:** 6160 KEMPSVILLE CIRCLE, SUITE 303A, NORFOLK, VA 23502-3933
- **Mailing address phone:** (757) 333-3360
- **Mailing address fax:** (757) 961-8093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0101052700 | VA | Yes |

## Other

- **Enumeration date:** 10/12/2007
- **Last updated:** 06/01/2012