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FOUNDATION MEDICAL LLC NPI 1003275124


NPI Information

NPI: 1003275124
Provider Name: FOUNDATION MEDICAL LLC

Doing Business As: FOUNDATION MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 49D2198761

Address:
1807 HUGUENOT RD STE 117
MIDLOTHIAN, VA
ZIP 23113
Phone: (804) 506-0526
Get Directions

FOUNDATION MEDICAL LLC is a family medicine in Midlothian, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FOUNDATION MEDICAL LLC NPI is 1003275124. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Foundation Medical Group.

The provider's business location address is:

1807 HUGUENOT RD STE 117
MIDLOTHIAN, VA
ZIP 23113-604
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 6/25/2023.


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 License Number License State Primary
1207QA0401XFamily MedicineAddiction MedicineNo
22081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury MedicineNo
32081P2900XPhysical Medicine & RehabilitationPain MedicineNo
42084A0401XPsychiatry & NeurologyAddiction MedicineNo
52084P2900XPsychiatry & NeurologyPain MedicineNo
6208VP0000XPain MedicinePain MedicineNo
7207Q00000XFamily MedicineYes

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: 5/5/2024

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