Performance Medicine of Southwest

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PERFORMANCE MEDICINE OF SOUTHWEST

Practice address

25 W Calhoun St
Salem, VA 24153-3836

Phone

(540) 772-1890

Fax

(540) 772-1893

NPI assigned

Aug 2, 2013

Organization subpart

No

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

Authorized official

Name

Delmas J Bolin, M.D.NPI 1548237993

Title

President

Phone

(540) 772-1890

Specialties & licenses 2

Addresses

Other names 1

• Performance Medicine of Southwest Virginia, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Delmas J Bolin, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Salem, VA
  • NPI 1548237993
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1679905467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W CALHOUN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533836",
            "telephone_number": "540-772-1890",
            "fax_number": "540-772-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W CALHOUN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533836",
            "telephone_number": "540-772-1890",
            "fax_number": "540-772-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE MEDICINE OF SOUTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "BOLIN",
        "authorized_official_first_name": "DELMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-772-1890",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Medicine of Southwest Virginia, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Pedraza, MD
• Alison Peele
• Monica Lynn Perdue-Johnson, M.S., CCC-SLP
• Sara E Perez-Torres, MD
• Enrique Perez, MD
• Jessica Lynn Perkins
• Olivia Perrine
• Alexa Janet Peters, B.S., B.S., RBT
• Katelyn Cox Peters, LCSW
• Eric Lee Peterson

• Family Medicine Physician in Salem, VA
• Providers in Salem, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.