Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bon Secours-St Mary's Hospital of Richmond, Inc

Organization Surgery Physician · NPI 1962633149

Bon Secours-St Mary's Hospital of Richmond, Inc is a Surgery Physician in Richmond, Virginia. Registered with an NPI since 2009.

In the registry since
2009
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

5855 Bremo Rd Mob N Ste 406
Richmond, VA 23226-1930
Phone: (804) 285-4133
Fax: (804) 622-2224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1962633149
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBon Secours-St Mary's Hospital of Richmond, Inc
Authorized official George Butler — Director, Corporate Responsibility · (804) 281-0271
Other names Dominion Surgical Associates - Bon Secours Medical Group; Dominion Surgical Associates - Bon Secours Medical Group
NPI enumeratedAugust 5, 2009
Last updated in NPPESOctober 24, 2018
Mailing address5855 Bremo Rd, Mob North, Suite 406, Richmond, VA 23226-1930

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