Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southern Physical Medicine Associates Inc

Organization Counselor · NPI 1134338361

Southern Physical Medicine Associates Inc is a Counselor in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5922 W Broad St
Richmond, VA 23230-2231
Phone: (804) 282-6593
Fax: (804) 282-8215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 0101032689 (VA)
Counselor Taxonomy 101Y00000X · Licence 0715002791 (VA)
Sports Medicine (Neuromusculoskeletal Medicine) Physician Taxonomy 204C00000X · Licence 0101032689 (VA)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence 0101032689 (VA)
Spinal Cord Injury Medicine Physician Taxonomy 2081P0004X · Licence 0101032689 (VA)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 0101032689 (VA)
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X · Licence 0101032689 (VA)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 0101032689 (VA)

Record details

NPI number1134338361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Bonner — President · (804) 282-6593
Other names Physical Medicine Center
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 31, 2012
Mailing address5922 W Broad St, Richmond, VA 23230-2231

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