NPIMap

Organization Active NPI

Bon Secours-Richmond Community Hospital LLC

Doing business as Bon Secours Cancer Institute

  • Hematology & Oncology Physician
  • Richmond, VA
National Provider Identifier
1235582818
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC
Doing business as
Bon Secours Cancer Institute
Practice address
1510 N 28TH St Ste 110
Richmond, VA 23223-5311
Phone
(804) 764-7220
Fax
(804) 764-6212
NPI assigned
Jul 19, 2016
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
William Kusnierz
Title
Cfo
Phone
(864) 282-4993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

1510 N 28TH St Ste 110
Richmond, VA 23223-5311

Mailing address

PO Box 639992
Cincinnati, OH 45263-9992

Other practice location 1

5875 Bremo Rd Ste 209
Richmond, VA 23226-1934
Phone (804) 287-7804

Other practice location 2

101 Harris Rd Ste 209
Kilmarnock, VA 22482-3880
Phone (804) 435-8689

Other practice location 3

8262 Atlee Rd Ste 201
Mechanicsville, VA 23116-1816
Phone (804) 764-7220

Other practice location 4

14051 St Francis Blvd Ste 2210
Midlothian, VA 23114-3203
Phone (804) 893-8717

Other practice location 5

601 Watkins Centre Pkwy Ste 200
Midlothian, VA 23114-0002
Phone (804) 893-8717

Other identifiers 1

IdentifierTypeStateIssuer
C06778OtherVAGROUP PTAN

Other names 1

  • BON SECOURS CANCER INSTITUTE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325000466 VA Part B Supplier - Clinic/Group Practice 3274425459 Receives reassigned benefits from 62 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Richmond, VA; Midlothian, VA; Kilmarnock, VA; Charlottesville, VA; Mechanicsville, VA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bon Secours-Richmond Community Hospital LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

5875 Bremo Rd
Richmond, VA 23226
Phone (804) 213-0200

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1235582818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639992",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 N 28TH ST STE 110",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235311",
            "telephone_number": "804-764-7220",
            "fax_number": "804-764-6212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5875 Bremo Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232261934",
            "country_code": "US",
            "telephone_number": "804-287-7804",
            "fax_number": "804-287-7178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Harris Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Kilmarnock",
            "state": "VA",
            "postal_code": "224823880",
            "country_code": "US",
            "telephone_number": "804-435-8689",
            "fax_number": "804-435-8302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8262 Atlee Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231161816",
            "country_code": "US",
            "telephone_number": "804-764-7220",
            "fax_number": "804-764-6212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14051 St Francis Blvd Ste 2210",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231143203",
            "country_code": "US",
            "telephone_number": "804-893-8717",
            "fax_number": "804-594-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Watkins Centre Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231140002",
            "country_code": "US",
            "telephone_number": "804-893-8717",
            "fax_number": "804-594-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "KUSNIERZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-282-4993"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06778",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BON SECOURS CANCER INSTITUTE",
            "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 Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.