Active NPI
Bon Secours Medical Group Richmond Specialty Care LLC
- Durable Medical Equipment & Medical Supplies
- Mechanicsville, VA
National Provider Identifier
1598336554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC
- Practice address
- 8220 Meadowbridge Rd Ste 202
Mechanicsville, VA 23116-2340 - Phone
- (804) 285-2300
- Fax
- (804) 417-5960
- NPI assigned
- Jul 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wilbur Gay
- Title
- Cfo
- Phone
- (864) 605-3762
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
8220 Meadowbridge Rd Ste 202
Mechanicsville, VA 23116-2340
Mailing address
PO Box 639969
Cincinnati, OH 45263-9969
Phone (804) 627-5000
Other names 1
- BON SECOURS - TUCKAHOE ORTHOPEDICS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692230400000",
"number": "1598336554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639969",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639969",
"telephone_number": "804-627-5000",
"fax_number": "866-449-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 MEADOWBRIDGE RD STE 202",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162340",
"telephone_number": "804-285-2300",
"fax_number": "804-417-5960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-09",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A",
"authorized_official_last_name": "GAY",
"authorized_official_first_name": "WILBUR",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "864-605-3762"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BON SECOURS - TUCKAHOE ORTHOPEDICS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BON SECOURS - TUCKAHOE ORTHOPEDICS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mechanicsville, VA
- Alison Bollander
- Steve Bolling, LPTA
- Frank Ashton Bolton III
- Bon Secours - Memorial Regional Medical Center, Inc.
- Bon Secours Medical Group Richmond Primary Care LLC
- Bon Secours Medical Group Richmond Specialty Care LLC
- Bon Secours Memorial Regional Medical Center
- Bon Secours Memorial Regional Medical Center Inc
- Bon Secours Memorial Regional Medical Center Inc
- Bon Secours Memorial Regional Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.