Per Gunnar Brolinson, D.O.
Individual provider Active NPI Sports Medicine (Neuromusculoskeletal Medicine) Physician · Blacksburg, VA
NPI 1477633832 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477633832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X
- License
- 0102201326 (VA)
- Practice address
- 101 Professional Park Dr SE
Suite 3
Blacksburg, VA 24060-6685 - Phone
- (540) 951-4000
- Fax
- (540) 633-1524
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102201326 | VA | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Alan Stockard PC | Neuromusculoskeletal Medicine, Sports Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | 0102201326 | VA | Yes |
Addresses
Primary practice location
101 Professional Park Dr SE
Suite 3
Blacksburg, VA 24060-6685
Mailing address
PO Box 1572
Radford, VA 24143-1572
Phone (540) 639-6736
Other providers in Blacksburg, VA
- Bonita G Brigman
- Jason Edward Brinckman
- Kerry Fain Brisco
- Cheryl Dawn Britts
- Kari Kent Brizendine
- Logan St Clair Brooke
- Erin L Brosius
- Melissa Brower
- Aleksandra G Brown
- Kenneth Xavier Brown
All providers in Blacksburg, VA · Sports Medicine (Neuromusculoskeletal Medicine) Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.