Bon Secours Medical Group Richmond Specialty Care LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC

Doing business as

BON SECOURS - TUCKAHOE ORTHOPEDICS

Practice address

3400 Haydenpark LN Ste 100
Henrico, VA 23233-7867

Phone

(804) 285-2300

Fax

(804) 918-0828

NPI assigned

Jul 9, 2021

Organization subpart

No

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

Authorized official

Name

Joseph Hardy

Title

Cfo

Phone

(513) 869-5016

Specialties & licenses 2

Addresses

Other names 1

• BON SECOURS - TUCKAHOE ORTHOPEDICS Doing business as

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1780255737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 MAGELLAN PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271149",
            "fax_number": "866-449-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HAYDENPARK LN STE 100",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232337867",
            "telephone_number": "804-285-2300",
            "fax_number": "804-918-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-869-5016"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BON SECOURS - TUCKAHOE ORTHOPEDICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Boatwright
• Stephen Paul Boersman, PSYCHIATRIC NP
• Boffo, LLC
• Hunter Bogert, PT, DPT
• Jill Peery Bolinger, RPH
• Bon Secours Mercy Health Virtual Care LLC
• Hannah Melissa Znotens Bond, DNP, APRN, FNP-C
• Joy Daigle Book, MDIV, EDS
• Amanda Joy Booth, BCBA
• Born Genius Association LLC

• Durable Medical Equipment & Medical Supplies in Henrico, VA
• Providers in Henrico, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.