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

Organization Internal Medicine Physician · NPI 1972783918

Bon Secours-Virginia Healthsource is an Internal Medicine Physician in Glen Allen, Virginia. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

5207 Hickory Park Dr Ste A
Glen Allen, VA 23059
Phone: (804) 621-2980
Fax: (804) 762-7102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1972783918
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBon Secours-Virginia Healthsource
Authorized official George Butler — Director, Corporate Responsibility · (804) 281-0271
Other names Glen Allen Internal Medicine; Glen Allen Internal Medicine
NPI enumeratedNovember 7, 2007
Last updated in NPPESJuly 27, 2018
Mailing address5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624

Other providers in Glen Allen