Physical Medicine Center

LBN: Southern Physical Medicine Associates Inc
Physical Medicine Center is an health care organization with primary practice located at 5922 W Broad St , Richmond VA 23230-2231. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Southern Physical Medicine Associates Inc can be contacted via phone (804) 282-6593, or through Bonner, Charles H via phone (804) 282-6593.

Contact Information

Primary practice address
5922 W Broad St Richmond VA 23230-2231
Phone: (804) 282-6593
Fax: (804) 282-8215
Website:
Map and Directions
Authorized official contact:
Name: Bonner, Charles H
Phone: (804) 282-6593

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0715002791 Virginia
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X 0101032689 Virginia
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 0101032689 Virginia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0101032689 Virginia
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 0101032689 Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 0101032689 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 0101032689 Virginia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 0101032689 Virginia

Profile Details

NPI number 1134338361
LBN Legal business name Southern Physical Medicine Associates Inc
DBA Doing business as Physical Medicine Center
Authorized official Bonner, Charles H
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Jul 31st, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134338361 NPPES
Virginia MEDICAID 066834400

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