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BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND INC. NPI 1255776290


NPI Information

NPI: 1255776290
Provider Name: BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

Doing Business As: BON SECOURS SPORTS MEDICINE & PRIMARY CARE

Classification: Internal Medicine - 207RS0010X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 49D2060156

Address:
2401 W LEIGH STREET
RICHMOND, VA
ZIP 23220
Phone: (804) 325-8801
Get Directions

BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. is a sports medicine internal medicine in Richmond, VA. The provider is an internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. NPI is 1255776290. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bon Secours Sports Medicine & Primary Care.

The provider's business location address is:

2401 W LEIGH STREET
RICHMOND, VA
ZIP 23220-328
Phone: (804) 325-8801
Fax: (804) 213-3051

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

The CLIA number assigned to this NPI record is 49D2060156 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2013 and was last updated on 8/30/2019.


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
1207RS0010XInternal MedicineSports MedicineYes

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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