PER GUNNAR BROLINSON, D.O. — NPI 1477633832 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine, Sports Medicine in BLACKSBURG, VA)

CMS-1500 Box 24J / 33a • NPI

1477633832

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

204C00000X (CMS 12)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine, Sports Medicine

Box 32 Service Location & ZIP+4

101 PROFESSIONAL PARK DR SE, SUITE 3, BLACKSBURG, VA, 24060-6685

✓ 9-Digit EDI 837 ZIP+4 (24060-6685)

Practice Phone & Referral Fax

(540) 951-4000

Fax: (540) 633-1524

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477633832 (PER GUNNAR BROLINSON, D.O.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1477633832` (NPI-1 Individual Practitioner)
Provider / Legal Name	PER GUNNAR BROLINSON, D.O.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine, Sports Medicine NUCC Code: `204C00000X` (Neuromusculoskeletal Medicine, Sports Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	101 PROFESSIONAL PARK DR SE, SUITE 3, BLACKSBURG, VA, 24060-6685
Practice Telephone / Fax	Tel: (540) 951-4000 \| Fax: (540) 633-1524
Administrative Mailing Address	PO BOX 1572, RADFORD, VA, 24143-1572
Enumeration & Last Sync	Enumerated: 2006-10-17 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

101 PROFESSIONAL PARK DR SE, SUITE 3, BLACKSBURG, VA, 24060-6685

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Plain-English Taxonomy & CMS Crosswalk (204C00000X)

What Does Taxonomy Code 204C00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 204C00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine, Sports Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 12 (Physician/Osteopathic Manipulative Medicine) • CMS Code 23 (Physician/Sports Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Neuromusculoskeletal Medicine, Sports Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PER GUNNAR BROLINSON, D.O.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`204C00000X` — Neuromusculoskeletal Medicine, Sports Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine, Sports Medicine	State: VA \| License: `0102201326` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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PER GUNNAR BROLINSON, D.O. (NPI #1477633832)