Joint Base Lewis-McChord, WA

Contact Information
Madigan Intrepid Spirit Center, Madigan Army Medical Center
Madigan Annex, 9921 AB E. Hayes
Tacoma, WA 98431
United States

Catchment Area

Madigan Army Medical Center and Pacific Regions not served by DVBIC Centers such as Oregon, Alaska, Hawaii, Guam, Japan, the Philippines and Korea


Col. Beverly Scott, M.D.

DVBIC Site Director

Col. Beverly Scott, M.D., has served as director, Traumatic Brain Injury (TBI)/Intrepid Spirit Program, Madigan Army Medical Center since October 2014. Col. Scott has been on staff at Madigan since 1998, serving in multiple leadership positions, including chief of neurology from 2005- 2012. She deployed to Afghanistan in 2010, serving as theater neurology consultant with Task Force 62nd Medical Brigade, where she was instrumental in advancing concussion care throughout theater. Col. Scott was recalled to military service following her 30-year retirement in June 2016 to lead the transition for Madigan’s Intrepid Spirit program.  Current academic interests include post-traumatic migraine and co-morbidities associated with concussion.

Her career began 40 years earlier when she received her RN diploma in 1978 and bachelor’s degree in molecular biology from the University of Colorado in 1981. She attended Case Western Reserve School of Medicine from 1981 to 1985, completed a neurology residency at the Walter Reed Army Medical Center from 1991 to 1996, finished a neuro-ophthalmology fellowship in 1997, and achieved board-certification in psychiatry and neurology in 1997, with maintenance of certification in 2007 and 2017. 

Program Overview


The Madigan Intrepid Spirit and Traumatic Brain Injury programs provide comprehensive health care, education and research for our service members, beneficiaries over the age of 18 and retirees throughout Regional Health Command Pacific. Our care extends across the continuum, ranging from the impact of trauma exposure to the effects of all grades/types of brain injury, while striving to address the impact of co-occurring conditions. 

Our mission is to provide the best possible holistic interdisciplinary care and resources supporting readiness, resilience and recovery.

Traumatic Brain Injury Program

The Madigan TBI Program is comprised of an interdisciplinary team who work to prevent, identify and mitigate the effects of head and brain trauma and associated co-morbidities. We promote the MEDCOM Performance Triad of sleep, activity and nutrition to optimize brain health and align with DCoE and DVBIC guidelines of clinical care.

Referral Guidelines:

  • Patients who remain symptomatic following acute concussion or possible acute brain injury following initial primary care evaluation.
  • Patients with multiple traumatic brain injuries, combat or non-combat related, including three or more concussions within the past year.
  • Patients with history of concussion, or more severe brain injury, with associated known complex co-morbidities (headaches, behavioral health conditions, chronic pain and sleep impairments) affecting their functionality, quality of life and clinical course following injury.

Intrepid Spirit Center

The Madigan Intrepid Spirit Program serves as a natural extension of the current holistic TBI, behavioral health, and Intensive Pain Management Center programs offered at Madigan.  We provide comprehensive specialty evaluations under one roof, integrating traditional and complementary approaches to care.  Our Madigan Intrepid Spirit Transitions intensive outpatient program involves full days of holistic state-of-the-art treatment and educational programs with opportunities supporting readiness, life skills techniques and a variety of tools and resources for continued healing and growth beyond this six-week program.

Referral Guideline:

  • Active-duty service members with trauma-related conditions, such as history of TBI, behavioral health conditions, and/or chronic pain which have not resolved despite having received treatment through existing collaborative models of care and are limiting their ability to function at work or at home.

Intrepid Spirit/TBI Clinical Team

Primary Care, Neurology, Psychology, Neuropsychology, Physical Medicine and Rehabilitation, Optometry, Psychiatric Nurse Practitioner, Physical Therapist, Occupational Therapist, Creative Arts Therapist, Licensed Practical Nurse, Nurse Case Managers, Nurse Educator, Ombudsman. (Speech therapy and integrative modalities including acupuncture and chiropractic care are pending.)