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

Bon Secours-St Mary's Hospital of Richmond, Inc

Organization Internal Medicine Physician · NPI 1063799302

Bon Secours-St Mary's Hospital of Richmond, Inc is an Internal Medicine Physician in Glen Allen, Virginia. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5207 Hickory Park Dr Ste A
Glen Allen, VA 23059-2624
Phone: (804) 612-2980
Fax: (804) 762-7102
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1063799302
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Butler — Director Corporate Responsibility · (804) 281-0271
Other names Glen Allen Internal Medicine; Glen Allen Internal Medicine
NPI enumeratedNovember 15, 2011
Last updated in NPPESOctober 24, 2018
Mailing address5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624

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