Organization
SPINE AND ORTHOPEDIC PAIN CENTER
Active
Organization
SPINE AND ORTHOPEDIC PAIN CENTER
Active
Other names
Bragg Spine and Orthopedic Pain Center PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINIFRED D BRAGG MD (CEO PRESIDENT)
(757) 333-3360
Entity
Organization
Contact information
Practice address
6160 KEMPSVILLE CIRCLE, SUITE 303A, NORFOLK, VA 23502-3933
(757) 333-3360
(757) 961-8093
Mailing address
6160 KEMPSVILLE CIRCLE, SUITE 303A, NORFOLK, VA 23502-3933
(757) 333-3360
(757) 961-8093
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101052700
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010209692
—
VA
Enumeration date
10/12/2007
Last updated
06/01/2012
Update your record
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