NPIMap

Organization Active NPI

Bon Secours-St. Mary's Hospital of Richmond, Inc.

Doing business as The Bon Secours Program for Diabetes Health - St Mary's Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Richmond, VA
National Provider Identifier
1194360503
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Doing business as
The Bon Secours Program for Diabetes Health - St Mary's Hospital
Practice address
5899 Bremo Rd Ste 202
Richmond, VA 23226-1935
Phone
(804) 764-7885
Fax
(804) 559-6185
NPI assigned
Nov 8, 2019
Last updated
Nov 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Herbert Cummings
Title
Coo
Phone
(804) 690-3836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

5899 Bremo Rd Ste 202
Richmond, VA 23226-1935

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149

Other names 1

  • THE BON SECOURS PROGRAM FOR DIABETES HEALTH - ST MARY'S HOSPITAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bon Secours St Marys Hospital21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1194360503",
    "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",
            "fax_number": "866-449-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 BREMO RD STE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261935",
            "telephone_number": "804-764-7885",
            "fax_number": "804-559-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "804-690-3836"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE BON SECOURS PROGRAM FOR DIABETES HEALTH - ST MARY'S HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.