Bon Secours-Virginia Healthsource

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101056520 Issued in VA

Legal business name

BON SECOURS-VIRGINIA HEALTHSOURCE

Doing business as

Bon Secours MedCare Center

Practice address

7001 Forest Ave
Suite 103
Richmond, VA 23230

Phone

(804) 287-3550

Fax

(804) 281-7840

NPI assigned

Aug 25, 2008

Organization subpart

No

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

Authorized official

Name

George Odell Butler

Title

Director of Corp Responsibility

Phone

(804) 281-0271

Specialties & licenses 2

Addresses

Other names 1

• Bon Secours MedCare Center Doing business as

Locations

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1770730475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 FOREST AVE",
            "address_2": "SUITE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301726",
            "telephone_number": "804-287-3550",
            "fax_number": "804-281-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 FOREST AVE",
            "address_2": "SUITE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23230",
            "telephone_number": "804-287-3550",
            "fax_number": "804-281-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS-VIRGINIA HEALTHSOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ODELL",
        "authorized_official_title_or_position": "DIRECTOR OF CORP RESPONSIBILITY",
        "authorized_official_telephone_number": "804-281-0271"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101056520",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101056520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours MedCare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours MedCare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bon Secours-Virginia Healthsource (Patterson Avenue Family Practice)
• Bon Secours-Virginia Healthsource (West End Internal Medicine)
• Bon Secours-Virginia Healthsource (Tuckahoe Family Medical Center)
• Bon Secours-Virginia Healthsource (Bon Secours Home Infusion)
• Bon Secours-Virginia Healthsource (Commonwealth Surgeons - Bon Secours Medical Group)
• Bon Secours-Virginia Healthsource (Parham Road Internal Medicine)
• Bon Secours-Virginia Healthsource Inc (Bon Secours Surgical Specialist at St Mary's Hospital)
• Bon Secours-Virginia Healthsource Inc (Primary Health Care Associates)
• Bon Secours-Virginia Healthsource, Inc. (Richmond Cardiology Consultants)
• Bon Secours-Virginia Healthsource, Inc. (Bon Secours Midlothian Imaging Center)

• General Practice Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• General Practice Physician in Virginia

• 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.