NPIMap

Organization Active NPI

Bon Secours Memorial Regional Medical Center LLC

Doing business as Bon Secours Richmond Cardiology Associates

  • Cardiovascular Disease Physician
  • Mechanicsville, VA
National Provider Identifier
1942582010
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC
Doing business as
Bon Secours Richmond Cardiology Associates
Practice address
8243 Meadowbridge Rd
Mechanicsville, VA 23116-2329
Phone
(804) 730-1481
Fax
(804) 730-8464
NPI assigned
Sep 15, 2011
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Wilbur Gay
Title
Cfo
Phone
(864) 255-1904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

8243 Meadowbridge Rd
Mechanicsville, VA 23116-2329

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (804) 433-4705

Other practice location 1

43 William B Graham Ct
Kilmarnock, VA 22482-3852
Phone (804) 435-7735

Other names 1

  • Bon Secours Richmond Cardiology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040726000687 VA Part B Supplier - Clinic/Group Practice 6507775293 Receives reassigned benefits from 75 practitioners
26 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kilmarnock, VA; Glen Allen, VA; Richmond, VA; Mechanicsville, VA; King William, VA

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

National Provider Directory

National Provider Directory

Locations

43 William B Graham Ct
Kilmarnock, VA 22482
Phone (804) 435-7735

8243 Meadowbridge Rd
Mechanicsvlle, VA 23116
Phone (804) 730-1481

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1942582010",
    "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": "804-433-4705",
            "fax_number": "866-449-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8243 MEADOWBRIDGE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162329",
            "telephone_number": "804-730-1481",
            "fax_number": "804-730-8464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 William B Graham Ct",
            "address_purpose": "LOCATION",
            "city": "Kilmarnock",
            "state": "VA",
            "postal_code": "224823852",
            "country_code": "US",
            "telephone_number": "804-435-7735",
            "fax_number": "804-435-1535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-255-1904"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Richmond Cardiology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bon Secours Richmond Cardiology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.