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

Bon Secours Virginia Medical Group I, LLC

Organization Dermatology Physician · NPI 1568899409

Bon Secours Virginia Medical Group I, LLC is a Dermatology Physician in Glen Allen, Virginia. Registered with an NPI since 2013.

In the registry since
2013
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

5207 Hickory Park Dr Ste A
Glen Allen, VA 23059-2624
Phone: (804) 977-8938
Fax: (804) 762-7102
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1568899409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Butler — Director Corporate Responsibility · (804) 281-0271
Other names Bon Secours Surgical Dermatology Center
NPI enumeratedOctober 10, 2013
Last updated in NPPESOctober 10, 2013
Mailing address5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624

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