Revive Continuum

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

REVIVE CONTINUUM

Practice address

157 Lancaster St
Bristol, VA 24201-4169

Phone

(276) 250-5500

NPI assigned

Mar 3, 2023

Last updated

Mar 3, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Ross Shauberger, DONPI 1508026352

Title

Medical Director

Phone

(936) 402-2935

Specialties & licenses 1

Addresses

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.

• James Ross Shauberger, D.O.

  • Internal Medicine Physician
  • Meadowview, VA
  • NPI 1508026352
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1679273254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15329 WOODSTONE CIR",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242024023",
            "telephone_number": "276-245-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 LANCASTER ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014169",
            "telephone_number": "276-250-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE CONTINUUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "SHAUBERGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "936-402-2935",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Resilient Medical Transport LLC
• Restorative Mind Counseling, PLLC
• Rhapsody ABA Therapy, LLC
• Rinova the Wellness Group, PC
• Teresa A Roatsey, NP
• Lisa Marie Roberts, COTA
• Timothy Paul Robinson, D.C.

• Internal Medicine Physician in Bristol, VA
• Providers in Bristol, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.