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BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND INC. NPI 1568802213


NPI Information

NPI: 1568802213
Provider Name: BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

Doing Business As: BON SECOURS NEUROLOGY CLINIC AT ST. MARY'S

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
5855 BREMO RD
SUITE 406
RICHMOND, VA
ZIP 23226
Phone: (804) 893-8656
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BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. is a neurology psychiatry neurology in Richmond, VA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC. NPI is 1568802213. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bon Secours Neurology Clinic At St. Mary's.

The provider's business location address is:

5855 BREMO RD
SUITE 406
RICHMOND, VA
ZIP 23226-930
Phone: (804) 893-8656
Fax: (804) 287-7018

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 enumeration date for this NPI number is 6/26/2013 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
12084N0400XPsychiatry & NeurologyNeurologyYes

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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