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BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND INC. NPI 1366715682


NPI Information

NPI: 1366715682
Provider Name: BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

Doing Business As: BON SECOURS SURA EDMOND, MD

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
5875 BREMO RD
SUITE 304
RICHMOND, VA
ZIP 23226
Phone: (804) 272-7979
Get Directions

BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. is an obstetrics gynecology in Richmond, VA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. NPI is 1366715682. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bon Secours Sura Edmond, Md.

The provider's business location address is:

5875 BREMO RD
SUITE 304
RICHMOND, VA
ZIP 23226-934
Phone: (804) 272-7979
Fax: (804) 272-4209

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

The enumeration date for this NPI number is 2/16/2012 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
1207V00000XObstetrics & GynecologyYes

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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