Organization Active NPI

Bon Secours Depaul Medical Center

  • Internal Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1366725160
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BON SECOURS DEPAUL MEDICAL CENTER
Doing business as
Norma Oller Magpoc, MD
Practice address
1020 Independence Blvd
Sutie 206
Virginia Beach, VA 23455-5500
Phone
(757) 464-0909
Fax
(757) 464-1711
NPI assigned
Sep 28, 2011
Organization subpart
Yes
Parent organization
BON SECOURS DEPAUL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Michael K Kerner
Title
Ceo
Phone
(757) 673-5929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1020 Independence Blvd
Sutie 206
Virginia Beach, VA 23455-5500

Mailing address

1020 Independence Blvd
Sutie 206
Virginia Beach, VA 23455-5500
Phone (757) 464-0909

Other names 1

  • Norma Oller Magpoc, MD Doing business as

National Provider Directory

National Provider Directory
Part of
Bon Secours Depaul Med Ctr

Locations

4241 E Little Creek Rd
Norfolk, VA 23518
Phone (757) 738-1200

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1366725160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUTIE 206",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555500",
            "telephone_number": "757-464-0909",
            "fax_number": "757-464-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUTIE 206",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555500",
            "telephone_number": "757-464-0909",
            "fax_number": "757-464-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS DEPAUL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS DEPAUL MEDICAL CENTER",
        "enumeration_date": "2011-09-28",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "KERNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-673-5929"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norma Oller Magpoc, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.