Search › Virginia › 208100000X
Charles Bonner, MD, MS, CRP
NPI 1710983283 · on the registry since 2005 · sole proprietor
Practice
- Address
- 5922 W Broad St
Richmond, VA 23230 - Phone
- (804) 282-6953
- Fax
- (804) 282-8215
- Organisation at this address
- Southern Physical Medicine Associates Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 208600000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia