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

Commonwealth Vascular Institute

Organization Surgery Physician · NPI 1194004093

Commonwealth Vascular Institute is a Surgery Physician in Suffolk, Virginia. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011
Specialties on file
3

Practice location Address checks out

150 Burnetts Way Ste 200
Suffolk, VA 23434-8168
Phone: (757) 539-7824
Fax: (757) 538-9474
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 0101053967 (VA)
Surgery Physician Taxonomy 208600000X · Licence 0101053967 (VA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 0101053967 (VA)

Record details

NPI number1194004093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bonnie Wright — Billing Supervisor · (757) 539-7824
NPI enumeratedAugust 9, 2011
Last updated in NPPESAugust 29, 2012
Mailing address150 Burnetts Way, Suite 200, Suffolk, VA 23434-8168

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