Active NPI
Bon Secours-Virginia Healthsource Inc
- Internal Medicine Physician
- Midlothian, VA
National Provider Identifier
1285667709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BON SECOURS-VIRGINIA HEALTHSOURCE INC
- Practice address
- 13700 St Francis Blvd
Suite 510
Midlothian, VA 23114 - Phone
- (804) 423-8470
- Fax
- (804) 423-8471
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- George O. Butler, MBA
- Title
- Director, Corporate Responsibility
- Phone
- (804) 281-0271
National Provider Directory
National Provider DirectoryLocations
13700 St Francis Blvd
Ste 510
Midlothian, VA 23114
Phone (804) 423-8462
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
13700 St Francis Blvd
Suite 510
Midlothian, VA 23114
Mailing address
13700 St Francis Blvd
Suite 510
Midlothian, VA 23114-3222
Phone (804) 423-8470
Other names 1
NPPES NPI Registry- Internal Medicine Associates of Chesterfield
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2019.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550016000000",
"number": "1285667709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13700 ST FRANCIS BLVD",
"address_2": "SUITE 510",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231143222",
"telephone_number": "804-423-8470",
"fax_number": "804-423-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13700 ST FRANCIS BLVD",
"address_2": "SUITE 510",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "23114",
"telephone_number": "804-423-8470",
"fax_number": "804-423-8471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BON SECOURS-VIRGINIA HEALTHSOURCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2019-02-13",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "DIRECTOR, CORPORATE RESPONSIBILITY",
"authorized_official_telephone_number": "804-281-0271",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Internal Medicine Associates of Chesterfield",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Internal Medicine Associates of Chesterfield",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Midlothian, VA
- Bon Secours Virginia Medical Group I, LLC
- Bon Secours Virginia Medical Group I, LLC
- Bon Secours-St. Mary'S Hospital of Richmond, Inc.
- Bon Secours-Virginia Healthsource
- Bon Secours-Virginia Healthsource
- Bon Secours-Virginia Healthsource Inc
- Tabatha Nicole Talbott Bonas, PHARMD
- Kyle Bond, DDS
- Rita Arvindbhai Bond, PHARMD
- Natalie Salera Bondy, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.