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

Bon Secours St Mary's Hospital of Richmond LLC

Organization Pediatric Pulmonology Physician · NPI 1699906875

Bon Secours St Mary's Hospital of Richmond LLC is a Pediatric Pulmonology Physician in Richmond, Virginia. Registered with an NPI since 2009.

In the registry since
2009
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

5875 Bremo Rd Ste 104 Mob South
Richmond, VA 23226-1934
Phone: (804) 287-7770
Fax: (804) 287-7801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Pulmonology Physician (primary) Taxonomy 2080P0214X

Record details

NPI number1699906875
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBon Secours St Mary's Hospital of Richmond LLC
Authorized official Wilbur Gay — Cfo · (864) 561-7672
Other names Pediatric Lung Care - Bon Secours Medical Group; Pediatric Lung Care - Bon Secours Medical Group
NPI enumeratedAugust 5, 2009
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020
Mailing address8580 Magellan Pkwy, Richmond, VA 23227-1149

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