PEDIATRIC LUNG CARE - BON SECOURS MEDICAL GROUP – NPI #1699906875
Pediatrics

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

PEDIATRIC LUNG CARE - BON SECOURS MEDICAL GROUP is a provider located in RICHMOND, VA. NPPES has assigned the NPI number 1699906875 to PEDIATRIC LUNG CARE - BON SECOURS MEDICAL GROUP on August 05, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PEDIATRIC LUNG CARE - BON SECOURS MEDICAL GROUP” is a dba name, the actual legal business name for this organization is BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC. The primary taxonomy selected by this provider is 2080P0214X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Pulmonology

The NPI profile was previously updated about 6 years ago on Sep 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 PEDIATRIC LUNG CARE - BON SECOURS MEDICAL GROUP below.

NPI Profile for
BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC

NPI Number
1699906875
Enumeration Date

(about 17 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 LLC
Doing Business As (dba): PEDIATRIC LUNG CARE - BON SECOURS MEDICAL GROUP
Primary location
5875 BREMO RD STE 104
MOB SOUTH
RICHMOND, VA 23226-1934
Phone: (804) 287-7770 Fax: (804) 287-7801
Mailing address
8580 MAGELLAN PKWY
RICHMOND, VA 23227-1149
Phone: Fax: (866) 449-0896
Organization Subpart
Yes - PEDIATRIC LUNG CARE - BON SECOURS MEDICAL GROUP is subpart of another organization.
Authorized Official
WILBUR GAY
CFO
Phone: (864) 561-7672
Updated
Certification Date
Sep 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.

Identifiers

Identifiers for PEDIATRIC LUNG CARE - BON SECOURS MEDICAL GROUP

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
2080P0214X
- Pediatrics / Pediatric Pulmonology (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.