DR. BRENDA SUE WALLER, M.D. - NPI NUMBER 1093794133

Summary

Provider Name: DR. BRENDA SUE WALLER, M.D.

NPI Number: 1093794133

Clasification: Physical Medicine & Rehabilitation (208100000X)

Address:
1935 THOMSON DR
LYNCHBURG, VA
ZIP 24501

Phone Number: (434) 528-0896



Detailed Information

DR. Brenda Sue Waller, M.D. is a physiatrist in Lynchburg, VA with 29 years of experience. The provider is physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. The assigned NPI number for this provider is 1093794133 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year: 1985

The provider's business address is:

1935 THOMSON DR
LYNCHBURG, VA
ZIP 24501-008
Phone: (434) 528-0896
Fax: (434) 528-0898

The enumeration date for this NPI number is 1/16/2006 and was last updated on 2/5/2014.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 208100000X Physical Medicine & Rehabilitation 0101055485 VA Yes

NPI Record

No. Field Name Field Value
1 NPI 1093794133
2 Entity Type Code 1
3 Provider Last Name Legal Name WALLER
4 Provider First Name BRENDA
5 Provider Middle Name SUE
6 Provider Name Prefix Text DR.
7 Provider Credential Text M.D.
8 Provider First Line Business Practice Location Address 1935 THOMSON DR
9 Provider Business Practice Location Address City Name LYNCHBURG
10 Provider Business Practice Location Address State Name VA
11 Provider Business Practice Location Address Postal Code 245011008
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 4345280896
14 Provider Business Practice Location Address Fax Number 4345280898
15 Provider Enumeration Date 1/16/2006
16 Last Update Date 2/5/2014
17 Provider Gender Code F
18 Healthcare Provider Taxonomy Code 1 208100000X
19 Provider License Number 1 0101055485
20 Provider License Number State Code 1 VA
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Sole Proprietor Y

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This page was last updated on: 4/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.