THE BON SECOURS PROGRAM FOR DIABETES HEALTH - MEMORIAL REGIONAL MEDICA – NPI #1003451410
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

THE BON SECOURS PROGRAM FOR DIABETES HEALTH - MEMORIAL REGIONAL MEDICA is a provider located in MECHANICSVILLE, VA. NPPES has assigned the NPI number 1003451410 to THE BON SECOURS PROGRAM FOR DIABETES HEALTH - MEMORIAL REGIONAL MEDICA on November 08, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE BON SECOURS PROGRAM FOR DIABETES HEALTH - MEMORIAL REGIONAL MEDICA” is a dba name, the actual legal business name for this organization is BON SECOURS - MEMORIAL REGIONAL MEDICAL CENTER, INC.. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 6 years ago on Feb 03, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE BON SECOURS PROGRAM FOR DIABETES HEALTH - MEMORIAL REGIONAL MEDICA below.

NPI Profile for
BON SECOURS - MEMORIAL REGIONAL MEDICAL CENTER, INC.

NPI Number
1003451410
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BON SECOURS - MEMORIAL REGIONAL MEDICAL CENTER, INC.
Doing Business As (dba): THE BON SECOURS PROGRAM FOR DIABETES HEALTH - MEMORIAL REGIONAL MEDICA
Primary location
8220 MEADOWBRIDGE RD STE 203
MECHANICSVILLE, VA 23116-2339
Phone: (804) 764-7885 Fax: (804) 559-6185
Mailing address
8580 MAGELLAN PKWY
RICHMOND, VA 23227-1149
Phone: Fax: (866) 449-0896
Organization Subpart
No
Authorized Official
WILBUR GAY
CFO
Phone: (864) 605-3762
Updated
Certification Date
Feb 03, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.