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BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND INC. NPI 1215216387


NPI Information

NPI: 1215216387
Provider Name: BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

Doing Business As: BON SECOURS PEDIATRIC INFECTIOUS DISEASE CLINIC

Classification: Pediatrics - 2080P0208X
Entity Type: Organization

Specialization: Pediatric Infectious Diseases

Address:
5875 BREMO RD STE 303
MOB SOUTH
RICHMOND, VA
ZIP 23226
Phone: (804) 977-8914
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BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. is a pediatric infectious diseases pediatrics in Richmond, VA. The provider is a pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. NPI is 1215216387. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bon Secours Pediatric Infectious Disease Clinic.

The provider's business location address is:

5875 BREMO RD STE 303
MOB SOUTH
RICHMOND, VA
ZIP 23226-934
Phone: (804) 977-8914
Fax: (804) 281-0950

The provider's authorized official is George O Butler .
The authorized official title is Dir. Corp. Responsibility and has the following contact phone number (804) 281-0271.

The enumeration date for this NPI number is 8/8/2011 and was last updated on 10/24/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0208XPediatricsPediatric Infectious DiseasesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C06778OTHERVIRGINIAGROUP PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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