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BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND INC. NPI 1427361922


NPI Information

NPI: 1427361922
Provider Name: BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

Doing Business As: BON SECOURS PEDIATRIC NEUROLOGY CLINIC

Classification: Pediatrics - 2080P0008X
Entity Type: Organization

Specialization: Neurodevelopmental Disabilities

Address:
5875 BREMO RD
MOB SOUTH, SUITE 303
RICHMOND, VA
ZIP 23226
Phone: (804) 287-7080
Get Directions

BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. is a neurodevelopmental disabilities pediatrics in Richmond, VA. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. NPI is 1427361922. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bon Secours Pediatric Neurology Clinic.

The provider's business location address is:

5875 BREMO RD
MOB SOUTH, SUITE 303
RICHMOND, VA
ZIP 23226-934
Phone: (804) 287-7080
Fax: (804) 281-8380

The provider's authorized official is Stephen Quiriconi .
The authorized official title is Cfo and has the following contact phone number (804) 281-8301.

The enumeration date for this NPI number is 7/26/2010 and was last updated on 2/13/2019.


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
12080P0008XPediatricsNeurodevelopmental DisabilitiesYes

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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