Organization Active NPI

Bomed, LLC

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1669847182
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101255432 Issued in VA
Legal business name
BOMED, LLC
Practice address
3900 Westerre Pkwy
Suite 300
Richmond, VA 23233-1478
Phone
(804) 727-0160
Fax
(804) 477-1252
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Onan W Bomar IV, M.D.
Title
Provider
Phone
(804) 727-0160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101255432 VA Primary

Addresses

Primary practice location

3900 Westerre Pkwy
Suite 300
Richmond, VA 23233-1478

Mailing address

3900 Westerre Pkwy
Suite 300
Richmond, VA 23233-1478
Phone (804) 727-0160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1669847182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WESTERRE PKWY",
            "address_2": "SUITE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331478",
            "telephone_number": "804-727-0160",
            "fax_number": "804-477-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WESTERRE PKWY",
            "address_2": "SUITE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331478",
            "telephone_number": "804-727-0160",
            "fax_number": "804-477-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "BOMAR",
        "authorized_official_first_name": "ONAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "804-727-0160",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101255432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 29, 2015; 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.