FOUNDATION MEDICAL LLC NPI 1003275124

NPI Information

NPI: 1003275124
Provider Name: FOUNDATION MEDICAL LLC
Classification: Psychiatry & Neurology - 2084P0800X
Specialization: Psychiatry
Entity Type: Organization
:
CLIA Number: 49D2198761
Address: 11600 BUSY ST STE 203
NORTH CHESTERFIELD, VA
ZIP 23236
Phone: (804) 506-0526

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NPI Details

FOUNDATION MEDICAL LLC is a psychiatry psychiatry neurology in North Chesterfield, VA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. FOUNDATION MEDICAL LLC NPI is 1003275124. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

11600 BUSY ST STE 203
NORTH CHESTERFIELD, VA
ZIP 23236-066
Phone: (804) 506-0526
Fax: (804) 506-0526

The provider's authorized official is Timothy James Bunton .
The authorized official title is Owner and has the following contact phone number (804) 506-0526.

The CLIA number assigned to this NPI record is 49D2198761 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2016 and was last updated on 7/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	208100000X	Physical Medicine & Rehabilitation		No
2	2081P0004X	Physical Medicine & Rehabilitation	Spinal Cord Injury Medicine	No
3	207Q00000X	Family Medicine		No
4	207QA0401X	Family Medicine	Addiction Medicine	No
5	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	No
6	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
7	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	No
8	2084P2900X	Psychiatry & Neurology	Pain Medicine	No
9	208VP0000X	Pain Medicine	Pain Medicine	No
10	2084P0800X	Psychiatry & Neurology	Psychiatry	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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