Organization
FOUNDATION MEDICAL LLC
Active
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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