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
- 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
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 DirectoryNPI 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.