BON SECOURS SURA EDMOND, MD – NPI #1366715682
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

BON SECOURS SURA EDMOND, MD is a provider located in RICHMOND, VA. NPPES has assigned the NPI number 1366715682 to BON SECOURS SURA EDMOND, MD on February 16, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BON SECOURS SURA EDMOND, MD” is a dba name, the actual legal business name for this organization is BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 8 years ago on Oct 24, 2018. 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 BON SECOURS SURA EDMOND, MD below.

NPI Profile for
BON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.

NPI Number
1366715682
Enumeration Date

(more than 14 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-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Doing Business As (dba): BON SECOURS SURA EDMOND, MD
Primary location
5875 BREMO RD
SUITE 304
RICHMOND, VA 23226-1934
Phone: (804) 272-7979 Fax: (804) 272-4209
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GEORGE BUTLER
DIRECTOR CORPORATE RESPONSIBILTY
Phone: (804) 281-0271
Updated
Identifiers

Identifiers for BON SECOURS SURA EDMOND, MD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERGROUP PTANVAC06778
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
207V00000X
- Obstetrics & Gynecology (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.