Organization · NPI-2

Bon Secours Medical Group Hampton Roads Specialty Care LLC

Internal Medicine, Cardiovascular Disease · Richmond, VA

NPI number1629637475

StatusActive

Last updated in NPPESMar 11, 2026

Details

NPI: 1629637475
Entity type: Organization (NPI-2)
Legal business name: Bon Secours Medical Group Hampton Roads Specialty Care LLC
Organization subpart: No
Enumeration date: Jun 6, 2019
Certification date: Mar 11, 2026
Last updated: Mar 11, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RC0000X	Internal Medicine, Cardiovascular Disease	–	–	Yes
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
208600000X	Surgery	–	–
207VX0201X	Obstetrics & Gynecology, Gynecologic Oncology	–	–
207RX0202X	Internal Medicine, Medical Oncology	–	–
363L00000X	Nurse Practitioner	–	–
207X00000X	Orthopaedic Surgery	–	–
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	–	–
207RP1001X	Internal Medicine, Pulmonary Disease	–	–
208VP0000X		–	–
2085R0001X		–	–
367500000X	Nurse Anesthetist, Certified Registered	–	–
207RG0100X	Internal Medicine, Gastroenterology	–	–
2084N0400X	Psychiatry & Neurology, Neurology	–	–
207V00000X	Obstetrics & Gynecology	–	–

Practice location

8580 Magellan Pkwy
Richmond, VA 23227-1149

Phone 804-627-5573 · Fax 866-449-0896

Mailing address

4600 Mcauley Pl Ste 600
Blue Ash, OH 45242-4778

Authorized official

Cassie Lowe
System Director, Payer Delegation &
5139525210

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