Organization Active NPI

Bonner and Haithcock, MD.'S , LTD

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1881619690
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BONNER AND HAITHCOCK, MD.'S , LTD
Practice address
505 W Leigh St
Suite 303
Richmond, VA 23220-3200
Phone
(804) 644-1333
Fax
(804) 782-1193
NPI assigned
Jul 13, 2006
Last updated
Sep 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Mrs. Lavonda Niquita Hurt
Title
Insurance,Billing Coordinator
Phone
(804) 644-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

505 W Leigh St
Suite 303
Richmond, VA 23220-3200

Mailing address

505 W. Leigh Street
Suite 303
Richmond, VA 23220
Phone (804) 644-1333

Other identifiers 2

IdentifierTypeStateIssuer
6078401MedicaidVA
6078460MedicaidVA

National Provider Directory

National Provider Directory

Locations

505 W Leigh St
#303
Richmond, VA 23220
Phone (804) 818-7041

505 W Leigh St
Ste 303
Richmond, VA 23220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1881619690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W. LEIGH STREET",
            "address_2": "SUITE 303",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23220",
            "telephone_number": "804-644-1333",
            "fax_number": "804-782-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W LEIGH ST",
            "address_2": "SUITE 303",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232203200",
            "telephone_number": "804-644-1333",
            "fax_number": "804-782-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNER AND HAITHCOCK, MD.'S , LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "HURT",
        "authorized_official_first_name": "LAVONDA",
        "authorized_official_middle_name": "NIQUITA",
        "authorized_official_title_or_position": "INSURANCE,BILLING COORDINATOR",
        "authorized_official_telephone_number": "804-644-1333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6078401",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6078460",
            "state": "VA"
        }
    ],
    "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 Sep 22, 2010; 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.