Bon Secours Depaul Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BON SECOURS DEPAUL MEDICAL CENTER

Practice address

6161 Kempsville Cir
Suite 335
Norfolk, VA 23502-3932

Phone

(757) 466-5027

Fax

(757) 466-8110

NPI assigned

Mar 31, 2008

Organization subpart

Yes

Parent organization

BON SECOURS DEPAUL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Greg A Simia

Title

Cfo

Phone

(757) 673-5928

Specialties & licenses 1

Addresses

Other names 1

• Bon Secours Medical Associates II Doing business as

Part of

Bon Secours Depaul Med Ctr

Locations

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1316119332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR",
            "address_2": "SUITE 335",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023932",
            "telephone_number": "757-466-5027",
            "fax_number": "757-466-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR",
            "address_2": "SUITE 335",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023932",
            "telephone_number": "757-466-5027",
            "fax_number": "757-466-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS DEPAUL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS DEPAUL MEDICAL CENTER",
        "enumeration_date": "2008-03-31",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "SIMIA",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-673-5928"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Medical Associates II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Bolander
• Bold Ruler, LLC
• Jamar L Bolden
• Matthew Steven Bolduc, DDS
• Elizabeth Bolt
• 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 Crna

• Internal Medicine Physician in Norfolk, VA
• Providers in Norfolk, 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 27, 2009; 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.