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Southern Physical Medicine Associates Inc

Physical Medicine & Rehabilitation Physician in Richmond, VA · enumerated 2007 · authorized official Charles Bonner, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134338361

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Physical Medicine Associates Inc
Other name <Unavail>
Practice address 5922 W Broad St, Richmond, VA, 23230
Phone (804) 282-6593
Fax (804) 282-8215
Enumeration date May 22, 2007
Last updated in NPPES Jul 31, 2012

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers · License 0715002791 (VA) Secondary
204C00000X Sports Medicine (Neuromusculoskeletal Medicine) Physician Allopathic & Osteopathic Physicians · License 0101032689 (VA) Secondary
204D00000X Neuromusculoskeletal Medicine & OMM Physician Allopathic & Osteopathic Physicians · License 0101032689 (VA) Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 0101032689 (VA) Primary
2081P0004X Spinal Cord Injury Medicine Physician Allopathic & Osteopathic Physicians · License 0101032689 (VA) Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 0101032689 (VA) Secondary
2081S0010X Sports Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 0101032689 (VA) Secondary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License 0101032689 (VA) Secondary

Authorized official

Name Charles Bonner
Title President
Phone (804) 282-6593

Other identifiers

Identifier Type State Issuer
066834400 Medicaid VA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Southern Physical Medicine Associates Inc?
Southern Physical Medicine Associates Inc is registered in NPPES as a Physical Medicine & Rehabilitation Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-31.