BON SECOURS-VIRGINIA HEALTHSOURCE NPI 1356529341

NPI Information

  • NPI: 1356529341
  • Provider Name: BON SECOURS-VIRGINIA HEALTHSOURCE
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Doing Business As: CARE DIABETES AND ENDOCRINOLOGY
  • CLIA Number: 49D1066271
  • Address: 3660 BOULEVARD
    SUITE G
    COLONIAL HEIGHTS, VA
    ZIP 23834
  • Phone: (804) 526-5566

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NPI Details

BON SECOURS-VIRGINIA HEALTHSOURCE is an endocrinology and diabetes and metabolism internal medicine in Colonial Heights, VA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. BON SECOURS-VIRGINIA HEALTHSOURCE NPI is 1356529341. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Care Diabetes And Endocrinology.

The provider's business location address is:

3660 BOULEVARD
SUITE G
COLONIAL HEIGHTS, VA
ZIP 23834
Phone: (804) 526-5566
Fax: (804) 526-5568

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

The CLIA number assigned to this NPI record is 49D1066271 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2008 and was last updated on 7/27/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism0101236869VIRGINIAYes

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: 11/21/2025

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