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

Individual provider Pediatrics Physician · NPI 1225087349

Dr. Bonnie Caukins Revelle, MD is a Pediatrics Physician in Norfolk, Virginia. Licensed in North Carolina and Virginia. Registered with an NPI since 2006.

Licensed in
NC, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Childrens Ln
Norfolk, VA 23507-1910
Phone: (757) 668-7456
Fax: (757) 668-9255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 0101240729 (VA)
Pediatrics Physician Taxonomy 208000000X · Licence 0101240729 (VA)
Pediatrics Physician Taxonomy 208000000X · Licence 27288 (NC)

Record details

NPI number1225087349
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESMay 14, 2020
Certification dateMay 14, 2020

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