FOUNDATION MEDICAL LLC
NPI 1104760685
Psychiatry & Neurology - Psychiatry in American Fork, UT

Q: What is Foundation Medical LLC's NPI number?

The NPI number for Foundation Medical LLC is 1104760685. It was assigned to this organization in the NPPES registry on April 16, 2026. The provider is doing business as Foundation Medical Group.

Q: What is Foundation Medical LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since April 16, 2026CLIA 49D2198761 · Waiver

456 E STATE RD STE 1400, AMERICAN FORK, UT 84003(804) 506-0526 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Foundation Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUNDATION MEDICAL LLC (NPI 1104760685), doing business as Foundation Medical Group, is a healthcare organization registered as a psychiatry in American Fork, Utah and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists Timothy James Bunton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104760685

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameFOUNDATION MEDICAL LLC

Location Address456 E STATE RD STE 1400American Fork, UT 84003-2609

Mailing Address11600 Busy Street, Ste 203Richmond, VA 23236-4066 · (804) 506-0526 · Fax (804) 506-0526

Phone(804) 506-0526

Organization SubpartNo

Authorized OfficialTimothy James BuntonCeo · (804) 506-0526

Enumeration DateApril 16, 2026

NPPES CertifiedApril 16, 2026

✔ NPI 1104760685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

456 E STATE RD STE 1400, American Fork, UT 84003

Open in Google Maps ↗

Other Names 1

Doing Business AsFoundation Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2198761

Foundation Medical, LLC · Richmond, VA

Active · expires Nov 3, 2026

CLIA Number49D2198761

Laboratory TypePhysician Office

Certificate Effective DateNovember 4, 2024

Certificate Expiration DateNovember 3, 2026

Laboratory DirectorTimothy J. Bunton

Laboratory Phone(804) 506-0526

Laboratory LocationFoundation Medical, LLC11600 Busy Street, Suite 203, Richmond, VA 23236

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Foundation Medical LLC's NPI number?

The NPI number for Foundation Medical LLC is 1104760685. It was assigned to this organization in the NPPES registry on April 16, 2026. The provider is doing business as Foundation Medical Group.

Where is Foundation Medical LLC located?

Foundation Medical LLC is located at 456 E State Rd Ste 1400, American Fork, UT 84003. The listed phone number is (804) 506-0526.

What is Foundation Medical LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Foundation Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2198761) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Foundation Medical LLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.