Organization
FOUNDATION MEDICAL LLC
Active
Other names
Foundation Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JAMES BUNTON MD (OWNER)
(804) 506-0526
Entity
Organization
Contact information
Practice address
11600 BUSY ST STE 203, NORTH CHESTERFIELD, VA 23236-4066
(804) 506-0526
(804) 506-0526
Mailing address
11600 BUSY ST STE 203, NORTH CHESTERFIELD, VA 23236-4066
(804) 506-0526
(804) 506-0526
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
02/17/2016
Last updated
07/14/2025
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