Bon Secours Depaul Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BON SECOURS DEPAUL MEDICAL CENTER INC

Doing business as

Bon Secours Town Center Medical Associates

Practice address

4421 Virginia Beach Blvd Ste 114
Virginia Beach, VA 23462-3114

Phone

(757) 738-1300

Fax

(757) 687-3202

NPI assigned

Jun 14, 2007

Last updated

Jul 3, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

BON SECOURS DEPAUL MEDICAL CENTER INCAs reported in NPPES

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

Authorized official

Name

Stephan Quiriconi

Title

Cfo

Phone

(804) 281-8301

Specialties & licenses 1

Addresses

Other names 1

• BON SECOURS TOWN CENTER MEDICAL ASSOCIATES Doing business as

Part of

Depaul Medical Ctr

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1922202571",
    "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",
            "telephone_number": "804-627-5462",
            "fax_number": "866-449-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 VIRGINIA BEACH BLVD STE 114",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623114",
            "telephone_number": "757-738-1300",
            "fax_number": "757-687-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS DEPAUL MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS DEPAUL MEDICAL CENTER INC",
        "enumeration_date": "2007-06-14",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "QUIRICONI",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "804-281-8301"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BON SECOURS TOWN CENTER MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bon Secours Depaul Medical Center (Saghana B. Chakrabortty,MD)
• Bon Secours Depaul Medical Center (Bon Secours Neuroscience Center for Pain Management)
• Bon Secours Depaul Medical Center Inc (Bon Secours Town Center Medical Associates)
• Bon Secours Depaul Medical Center Inc (Bon Secours Medical Associates)
• Bon Secours Depaul Medical Center Inc (Patient Choice Oceana)
• Olivia Bonanno, CNP
• Amber Bond
• Brenna Bond, SLP-CF
• Chasity Bond
• Ella Bond

• Family Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.