NPIMap

Organization Active NPI

Bon Secours-Virginia Healthsource

Doing business as Commonwealth Surgeons - Bon Secours Medical Group

  • Surgery Physician
  • Richmond, VA
National Provider Identifier
1669638037
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BON SECOURS-VIRGINIA HEALTHSOURCE
Doing business as
Commonwealth Surgeons - Bon Secours Medical Group
Practice address
5855 Bremo Rd
Suite 506
Richmond, VA 23226
Phone
(804) 285-3225
Fax
(804) 285-0360
NPI assigned
Aug 5, 2008
Organization subpart
Yes
Parent organization
BON SECOURS-VIRGINIA HEALTHSOURCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Mr. George O. Butler, MBA
Title
Director, Corporate Responsibility
Phone
(804) 281-0271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

5855 Bremo Rd
Suite 506
Richmond, VA 23226

Mailing address

5855 Bremo Rd
Suite 506
Richmond, VA 23226-1930
Phone (804) 285-3225

Other names 1

  • Commonwealth Surgeons - Bon Secours Medical Group Doing business as

National Provider Directory

National Provider Directory
Part of
Beaverdam Family Phy

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1669638037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 BREMO RD",
            "address_2": "SUITE 506",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261930",
            "telephone_number": "804-285-3225",
            "fax_number": "804-285-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 BREMO RD",
            "address_2": "SUITE 506",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23226",
            "telephone_number": "804-285-3225",
            "fax_number": "804-285-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS-VIRGINIA HEALTHSOURCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS-VIRGINIA HEALTHSOURCE",
        "enumeration_date": "2008-08-05",
        "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": "DIRECTOR, CORPORATE RESPONSIBILITY",
        "authorized_official_telephone_number": "804-281-0271",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Surgeons - Bon Secours Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Commonwealth Surgeons - Bon Secours Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • 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.