Bon Secours-Virginia Healthsource

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BON SECOURS-VIRGINIA HEALTHSOURCE

Doing business as

Ironbridge Family Practice

Practice address

11601 Iron Bridge Rd
Suite 117
Chester, VA 23831

Phone

(804) 717-5300

Fax

(804) 748-7269

NPI assigned

Jul 8, 2006

Last updated

Jul 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George O. Butler

Title

Dir., Corporate Responsibility

Phone

(804) 281-0271

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ironbridge Family Practice Doing business as

Locations

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1316970882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 IRON BRIDGE RD",
            "address_2": "SUITE 117",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311466",
            "telephone_number": "804-717-5300",
            "fax_number": "804-748-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 IRON BRIDGE RD",
            "address_2": "SUITE 117",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "23831",
            "telephone_number": "804-717-5300",
            "fax_number": "804-748-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS-VIRGINIA HEALTHSOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "DIR., CORPORATE RESPONSIBILITY",
        "authorized_official_telephone_number": "804-281-0271"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI1391",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ironbridge Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ironbridge Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bon Secours St Francis Medical Center LLC (Imaging at Chester)
• Bon Secours St. Francis Medical Center Inc (Bon Secours Neurology Clinic)
• Bon Secours St. Francis Medical Center LLC (Bon Secours Ironbridge Family Practice)
• Bon Secours St. Francis Medical Center, Inc. (Bon Secours Bermuda Crossroads Primary Care)
• Bon Secours-Richmond Community Hospital LLC (Bon Secours Neurology at Ironbridge)
• Bon Secours-Virginia Healthsource (Richmond Radiation Oncology Center)
• Bon Secours-Virginia Healthsource (John H. York, D.O.)
• Corliss Voncille Booker, RN
• Joseph Justin Booth, DMD
• Derrrick Botkins

• Family Medicine Physician in Chester, VA
• Providers in Chester, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.