Bon Secours Depaul Medical Center Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BON SECOURS DEPAUL MEDICAL CENTER INC

Practice address

828 Healthy Way Ste 220
Virginia Beach, VA 23462-7960

Phone

(757) 305-1797

Fax

(757) 309-4715

NPI assigned

Jul 20, 2007

Organization subpart

Yes

Parent organization

BON SECOURS DEPAUL MEDICAL CENTER INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephan Quiriconi

Title

Cfo

Phone

(804) 281-8301

Specialties & licenses 1

Addresses

Other names 1

• Bon Secours Medical Associates Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Bon Secours Depaul Med Ctr

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1154521854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 MAGELLAN PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271149",
            "telephone_number": "804-627-5462",
            "fax_number": "866-449-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 HEALTHY WAY STE 220",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627960",
            "telephone_number": "757-305-1797",
            "fax_number": "757-309-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS DEPAUL MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS DEPAUL MEDICAL CENTER INC",
        "enumeration_date": "2007-07-20",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "QUIRICONI",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "804-281-8301"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bon Secours Depaul Medical Center
• Bon Secours Depaul Medical Center
• Bon Secours Depaul Medical Center
• Bon Secours Depaul Medical Center
• Bon Secours Depaul Medical Center Inc
• Bon Secours Depaul Medical Center Inc
• Bon Secours Depaul Medical Center Inc
• Olivia Bonanno, CNP
• Amber Bond
• Brenna Bond, SLP-CF

• Internal Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.