Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bon Secours Memorial Regional Medical Center LLC

Organization Specialist · NPI 1881795557

Bon Secours Memorial Regional Medical Center LLC is a Specialist in Glen Allen, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10150 Staples Mill Rd Ste C
Glen Allen, VA 23060-3452
Phone: (804) 755-7581
Fax: (804) 755-7586
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0101054649 (VA)
Adolescent Medicine (Internal Medicine) Physician Taxonomy 207RA0000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1881795557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wilbur Gay — Cfo · (864) 561-7672
Other names Crossridge Pediatrics & Internal Medicine; Crossridge Pediatrics & Internal Medicine
NPI enumeratedSeptember 26, 2006
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020
Mailing address8580 Magellan Pkwy, Richmond, VA 23227-1149

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