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Contact Information

CHIPPENHAM AND JOHNSTON-WILLIS SPORTS MEDICINE, LLC
1115 BOULDERS PKWY STE 110
NORTH CHESTERFIELD, VA23225-4067
 Phone: 804-560-6500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHIPPENHAM AND JOHNSTON-WILLIS SPORTS MEDICINE, LLC

NPI Number 1740229608
LBN Legal business name CHIPPENHAM AND JOHNSTON-WILLIS SPORTS MEDICINE, LLC
Authorized official SUZANNE BERGAMO - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2006
Last updated 11/20/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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