Bon Secours Medical Group Richmond Specialty Care LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC

Doing business as

Bon Secours Orthopedic Specialists

Practice address

95 Harris Rd BLDG 5
Kilmarnock, VA 22482-3845

Phone

(804) 532-5730

Fax

(804) 435-3872

NPI assigned

Apr 12, 2023

Last updated

Apr 12, 2023By 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

Wilbur Gay

Title

Cfo

Phone

(864) 605-3762

Specialties & licenses 1

Addresses

Other names 1

• BON SECOURS ORTHOPEDIC SPECIALISTS Doing business as

Tax ID family

Bon Secours Medical Group Richmond Specialty Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bon Secours Medical Group Richmond Specialty Care LLC

  dba Bon Secours - Tuckahoe Orthopedics

  • Durable Medical Equipment & Medical Supplies
  • Richmond, VA
  • NPI 1134790181
  NPD tax ID

Locations

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1669168803",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 HARRIS RD BLDG 5",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823845",
            "telephone_number": "804-532-5730",
            "fax_number": "804-435-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BON SECOURS ORTHOPEDIC SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Bayliss
• Mary Bayliss
• Chiffon Beane
• Thomas Straughan Beane Jr., RPH
• Andrew Jackson Billups III, PSYD
• Edward Vincent Bonyak, MD
• Therese Bowen, OTR/L
• Joe Paul Bryan, RPH
• James E Bryant, M.D.
• Nancy O Byrne, P.T.

• Orthopaedic Surgery Physician in Kilmarnock, VA
• Providers in Kilmarnock, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.