Bon Secours Depaul Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BON SECOURS DEPAUL MEDICAL CENTER

Practice address

1020 Independence Blvd
Suite 305
Virginia Beach, VA 23455-5500

Phone

(757) 460-5011

Fax

(757) 460-9544

NPI assigned

Sep 29, 2011

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

Michael K Kerner

Title

Ceo

Phone

(757) 673-5929

Specialties & licenses 1

Addresses

Other names 1

• Saghana B. Chakrabortty,MD 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": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1619251337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUITE 305",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555500",
            "telephone_number": "757-460-5011",
            "fax_number": "757-460-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUITE 305",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555500",
            "telephone_number": "757-460-5011",
            "fax_number": "757-460-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS DEPAUL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS DEPAUL MEDICAL CENTER",
        "enumeration_date": "2011-09-29",
        "last_updated": "2012-02-08",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saghana B. Chakrabortty,MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Ann Bologna
• Imani Bolton
• Leslie Roy Bolton, IDC
• Bon Secours Depaul Medical Center
• Bon Secours Depaul Medical Center
• Bon Secours Depaul Medical Center
• Bon Secours Depaul Medical Center Inc
• Bon Secours Depaul Medical Center Inc
• Bon Secours Depaul Medical Center Inc
• Bon Secours Depaul Medical Center Inc

• Family Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, 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 Feb 8, 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.