BON SECOURS-VIRGINIA HEALTHSOURCE


Address: 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831
Phone: 8047175300

BON SECOURS-VIRGINIA HEALTHSOURCE (NPI# 1316970882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316970882
Entity Type Organization
Organization Name BON SECOURS-VIRGINIA HEALTHSOURCE
Other Organization Name IRONBRIDGE FAMILY PRACTICE
Practice Address 11601 Iron Bridge Rd
Suite 117
Chester
VA 23831
Mailing Address 11601 Iron Bridge Rd
Suite 117
Chester
VA 23831-1466
Practice Telephone 8047175300
Practice Fax Number 8047487269
Mailing Telephone 8047175300
Mailing Fax Number 8047487269
Enumeration Date 2006-07-08
Last Update Date 2018-07-27
Authorized Official Name GEORGE O. BUTLER (DIR., CORPORATE RESPONSIBILITY)
Authorized Official Telephone 8042810271
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA RAILROAD MEDICARE CI1391 01

Other Provider/Organization Names

Other Name Type Code
Ironbridge Family Practice Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558379404 Bon Secours-virginia Healthsource Durable Medical Equipment & Medical Supplies 8137 Staples Mill Rd, Richmond, VA 23228 2006-08-04
1528091808 Bon Secours-virginia Healthsource Family Medicine 3311 Church Rd, Suite 100, Richmond, VA 23233 2006-07-09
1043243546 Bon Secours-virginia Healthsource Family Medicine 4835 S Laburnum Ave, Richmond, VA 23231 2006-07-08
1235500281 Bon Secours-virginia Healthsource Internal Medicine 7229 Forest Ave, Suite 112, Richmond, VA 23226 2015-10-16
1407129224 Bon Secours-virginia Healthsource Radiology 7110 Forest Ave, Suite 100, Richmond, VA 23226 2012-02-10
1578708889 Bon Secours-virginia Healthsource Family Medicine 3452 Anderson Hwy, Suite D, Powhatan, VA 23139 2008-12-16
1982857231 Bon Secours-virginia Healthsource Orthopaedic Surgery 11601 Iron Bridge Rd, Suite 209, Chester, VA 23831 2008-10-30
1770730475 Bon Secours-virginia Healthsource Emergency Medicine 7001 Forest Ave, Suite 103, Richmond, VA 23230 2008-08-25
1669638037 Bon Secours-virginia Healthsource Surgery 5855 Bremo Rd, Suite 506, Richmond, VA 23226 2008-08-05
1073789285 Bon Secours-virginia Healthsource Internal Medicine 5875 Bremo Rd, Suite G-11, Richmond, VA 23226 2008-05-07

Office Location

Street Address 11601 IRON BRIDGE RD
SUITE 117
City CHESTER
State VA
Zip Code 23831

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154391571 Stacey L Epps Psychiatry & Neurology 11601 Iron Bridge Rd, Suite 207, Chester, VA 23831-1466 2006-01-26
1760840482 Next Bio-research Services, LLC. Clinical Medical Laboratory 11601 Iron Bridge Rd, Suite 101, Chester, VA 23831-1466 2016-02-09
1518216514 Julie Ann Goodman Nurse Practitioner 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831-1466 2012-09-05
1972890523 Keefe Hugo Lobb Family Medicine 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831-1466 2011-07-05
1790099307 Nancy Elizabeth Bell Nurse Practitioner 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831-1466 2010-08-06
1013143635 Bon Secours St. Francis Medical Center, Inc. Preferred Provider Organization 11601 Iron Bridge Rd, Suite 207, Chester, VA 23831-1466 2009-06-10
1982857231 Bon Secours-virginia Healthsource Orthopaedic Surgery 11601 Iron Bridge Rd, Suite 209, Chester, VA 23831 2008-10-30
1225285117 Salmaan A. Khawaja Clinical Neuropsychologist 11601 Iron Bridge Rd, Suite 207, Chester, VA 23831-1466 2008-08-21
1154587186 Andreya Brianne Risser Family Medicine 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831-1466 2008-07-30
1710147145 Kara Anne Clark Nurse Practitioner 11601 Iron Bridge Rd, Suite 207, Chester, VA 23831-1466 2008-06-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588262653 Jeanne Spence Dentist 11846 Jefferson Davis Hwy, Chester, VA 23831 2020-10-12
1396358610 Ronica Williams Clinical Nurse Specialist 12200 Ironbridge Road, Chester, VA 23831 2020-08-26
1891332466 Blossom Health Services LLC Home Health 11312 Ludgate Place, Chester, VA 23831 2019-12-03
1780144881 Positive Life Behavioral Health Services Community/Behavioral Health 3740 West Hundred Road, Chester, VA 23831 2019-03-23
1093201766 Susan Wade Speech-Language Pathologist The Crossings At Ironbridge, 6701 Ironbridge Pkwy, Chester, VA 23831 2018-07-06
1225530793 Rachel Victoria Mullins Speech-Language Pathologist 5200 Ecoff Ave, Chester, VA 23831 2018-03-01
1194196923 Elpidia Victoria Elliott Occupational Therapist 10600 Hamlin Way, Chester, VA 23831 2015-10-20
1558751750 Welcome Home Family Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3931 Hamlin Creek Court, Chester, VA 23831 2015-01-27
1083019525 Shwetha Rodrigues Dds PC Preferred Provider Organization 12517 Jefferson Davis Highway, Chester, VA 23831 2014-10-27
1659781631 Advanced Orthopaedic Centers Orthopaedic Surgery 12200 Branders Creek Drive, Chester, VA 23831 2014-04-30
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748136 Rapha House Calls Family Medicine 2 Fernglade Ct, Chester, NY 10918-2637 2020-10-22
1629469002 Memorial Hospital Family Medicine 2319 Old Plank Road, Chester, IL 62233-1116 2015-02-06
1376945626 Bon Secours St. Francis Medical Center, Inc. Family Medicine 12340 Bermuda Crossroad Ln, Chester, VA 23831-2352 2014-09-18
1962845016 Luisa M Caparoula Family Medicine 12254 Branders Creek Dr, Chester, VA 23831-1626 2013-04-08
1801173141 Bon Secours - St. Francis Medical Center LLC Family Medicine 11601 Iron Bridge Rd Ste 117, Chester, VA 23831-1467 2011-11-15
1487986287 Richard Davis Brown Family Medicine 128 Kirwans Landing Ln, Chester, MD 21619 2010-02-03
1477781995 Shervon Pierre Family Medicine 115 Cestrain Sq, Chester, SC 29706-1979 2009-06-23
1457506792 Charu Gupta Family Medicine 2 North Road, Chester, NJ 07094-1826 2008-12-01
1669639969 Alison Lewis Family Medicine 530 Main St Ste 4a, Chester, NJ 07930-2669 2008-05-22
1063683688 Lorraine D Robertson Family Medicine 21 Brown Ct, Chester, NJ 07930-2481 2008-03-23
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Competitor

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City CHESTER
Zip Code 23831

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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