Active NPI
Southern Virginia Rehab Group, PLLC
- Physical Medicine & Rehabilitation Physician
- Martinsville, VA
National Provider Identifier
1174728307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 0101241696
- Legal business name
- SOUTHERN VIRGINIA REHAB GROUP, PLLC
- Practice address
- 320 Hospital Dr
Martinsville, VA 24112-1900 - Phone
- (731) 293-4416
- NPI assigned
- Jun 18, 2007
- Last updated
- Mar 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Henry Edward Bridges Jr., M.D.
- Title
- Owner
- Phone
- (731) 435-6864
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101241696 | VA | Primary |
Addresses
Primary practice location
320 Hospital Dr
Martinsville, VA 24112-1900
Mailing address
6 Woodmanor PL
Jackson, TN 38305-1718
Phone (731) 435-6864
Other names 1
- Henry Edward Bridges, Jr.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Martinsville, VA
- NPI 1912998212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205798400000",
"number": "1174728307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WOODMANOR PL",
"city": "JACKSON",
"state": "TN",
"postal_code": "383051718",
"telephone_number": "731-435-6864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 HOSPITAL DR",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241121900",
"telephone_number": "731-293-4416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN VIRGINIA REHAB GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-18",
"last_updated": "2008-03-18",
"status": "A",
"authorized_official_last_name": "BRIDGES",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-435-6864",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0101241696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Henry Edward Bridges, Jr.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.