Lloyd Arden Bonner, M.D.
Individual provider Active NPI Internal Medicine Physician · Richmond, VA
NPI 1821086646 · NPPES record last updated Nov 21, 2024
Key facts
- NPI
- 1821086646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101029472 (VA)
- Practice address
- 2230 W Broad St
Ste 103
Richmond, VA 23220-2002 - Phone
- (804) 325-8801
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 30
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Michigan Medical School, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bon Secours Medical Group Richmond Primary Care LLC
Practice addresses (Care Compare)
1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 443-5378
Hospital & facility affiliations
- James River Home Health Agency
- Vcu Health at Home Health by Bayada
- At Home Care
- Amedisys Home Health
- HCA Virginia Healthcare at Home
- Bon Secours St Marys Hospital
- Bon Secours Southside Medical Center
- Bon Secours Memorial Regional Medical Center
- Bon Secours St Francis Medical Center
- Bon Secours Richmond Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101021000552 | VA | Practitioner - Internal Medicine | 9739219759 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101029472 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St Marys Hospital of Richmond LLC | Current |
Accepting new patients | |
| Bon Secours St Mary'S Hospital of Richmond LLC | Current |
Accepting new patients | |
| Bon Secours Medical Group Richmond Primary Care LLC | Internal Medicine | Current |
Accepting new patients |
| Bon Secours St. Mary'S Hospital of Richmond LLC | Current | Accepting new patients | |
| Primary Health Group Inc | Past | Accepting new patients | |
| Commonwealth Counseling Associates Inc | Past | Accepting new patients |
Locations
5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644
8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462
2230 W Broad St
Ste 103
Richmond, VA 23220
Phone (804) 325-8801
1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101029472 | VA | Yes |
Addresses
Primary practice location
2230 W Broad St
Ste 103
Richmond, VA 23220-2002
Mailing address
505 W Leigh St
Suite 303
Richmond, VA 23220-3200
Phone (804) 644-1333
Other practice location 1
505 W Leigh St
suite 303
Richmond, VA 23220-3200
Phone (804) 644-1333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6078401 | Medicaid | VA | |
| C06695 | Other | VA | GROUP PTAN |
Other providers in Richmond, VA
- Courtney Bonilla
- Bonna Bonnasue
- Bonner and Haithcock, MD.'S , LTD
- Cameron Paulette Bonner
- Charles Henderson Bonner Sr.
- Marilee Bono
- Brenda Bonuccelli
- Brooke Marie Bonzano
- Keona Booker
- Laura Anne Boomer
All providers in Richmond, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.