BON SECOURS-VIRGINIA HEALTHSOURCE, INC. (NPI# 1588697148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588697148 |
| Entity Type | Organization |
| Organization Name | BON SECOURS-VIRGINIA HEALTHSOURCE, INC. |
| Other Organization Name | BROOK RUN FAMILY PHYSICIANS |
| Practice Address |
10571 Telegraph Rd Suite 130 Glen Allen VA 23059 |
| Mailing Address |
8580 Magellan Pkwy Richmond VA 23227-1149 |
| Practice Telephone | 8042667611 |
| Practice Fax Number | 8042629249 |
| Mailing Fax Number | 8664490896 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | STEPHAN QUIRICONI (CFO) |
| Authorized Official Telephone | 8042818301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RAILROAD MEDICARE | CB2823 | 01 |
| Other Name | Type Code |
|---|---|
| Brook Run Family Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447555115 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 7110 Forest Ave Ste 100, Richmond, VA 23226-3762 | 2011-01-11 |
| 1356646004 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 11525 Midlothian Tpke Ste 103, Richmond, VA 23235-4763 | 2011-01-11 |
| 1518376805 | Bon Secours-virginia Healthsource, Inc. | Radiology | 4900 Cox Rd, Suite 100, Glen Allen, VA 23060-6507 | 2014-08-12 |
| 1063673390 | Bon Secours-virginia Healthsource, Inc. | Internal Medicine | 1510 N 28th St, Suite 204, Richmond, VA 23223 | 2008-06-19 |
| Street Address |
10571 TELEGRAPH RD SUITE 130 |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871538967 | Stephen G. Read | Family Medicine | 10571 Telegraph Rd, Suite 210, Glen Allen, VA 23059-4652 | 2006-06-20 |
| 1821532359 | Erin Marie Johnson | Nurse Practitioner | 10571 Telegraph Rd, Suite 110, Glen Allen, VA 23059-4652 | 2016-12-19 |
| 1215481601 | Rva Childrens Dentistry PC | Dentist | 10571 Telegraph Rd, Suite 101, Glen Allen, VA 23059-4652 | 2016-08-15 |
| 1801231170 | Kyle Elizabeth Seedlock | Pediatrics | 10571 Telegraph Rd, Suite 110, Glen Allen, VA 23059-4652 | 2013-05-01 |
| 1972848992 | Joanna Lee Martinette | Nurse Practitioner | 10571 Telegraph Rd, Suite 110, Glen Allen, VA 23059-4652 | 2012-12-03 |
| 1629329610 | Pediatrics, Inc | Nurse Practitioner | 10571 Telegraph Rd, Suite 110, Glen Allen, VA 23059-4652 | 2012-10-01 |
| 1144580804 | Emily B Hogan | Nurse Practitioner | 10571 Telegraph Rd, Suite 210, Glen Allen, VA 23059-4652 | 2012-05-29 |
| 1083884274 | Julie Waser | Nurse Practitioner | 10571 Telegraph Rd, Ste 110, Glen Allen, VA 23059-4652 | 2008-03-04 |
| 1366620486 | Care Alternatives of Virginia LLC | Hospice Care, Community Based | 10571 Telegraph Rd, Suite 203, Glen Allen, VA 23059-4652 | 2008-01-31 |
| 1982813200 | Brianna Michalosky Couch | Pediatrics | 10571 Telegraph Rd, Suite 110, Glen Allen, VA 23059-4652 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
| 1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
| 1992347116 | Irene Anne Mcgovern | Technician | 5233 Eastbranch Dr, Glen Allen, VA 23059 | 2019-10-09 |
| 1427547322 | Sharon Ann Lott | Audiologist | Short Pump Middle School, 4701 Pouncey Tract Road, Glen Allen, VA 23059 | 2018-05-07 |
| 1518476423 | Thomas Joseph Stein | Pharmacist | 4912 Old Millrace Place, Glen Allen, VA 23059 | 2017-09-22 |
| 1033638440 | Caroline Taylor | Specialist/Technologist | 5143 Dorin Hill Ct., Glen Allen, VA 23059 | 2017-09-18 |
| 1003335167 | Rva Transport, Inc. | Non-emergency Medical Transport (VAN) | 830 Brassie Ln, Apt F, Glen Allen, VA 23059 | 2017-09-10 |
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1255512760 | Peggy Ellen York | Psychologist | 13314 Greenwood Rd, Glen Allen, VA 23059 | 2007-11-27 |
| 1689795940 | Kim Blassic | Dentist | 5225 Hickory Park Dr., Suite D, Glen Allen, VA 23059 | 2007-04-03 |
| Find all providers in zip 23059 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275954588 | Christopher Newell | Family Medicine | 11357 Nuckols Rd, # 163, Glen Allen, VA 23059-5504 | 2014-01-04 |
| 1700048840 | Nermine Anwar Saleh | Family Medicine | 9851 Brook Rd, Glen Allen, VA 23059-4559 | 2008-06-30 |
| 1871702712 | Rumki Banerjee | Family Medicine | 5310 Twin Hickory Rd Ste A, Glen Allen, VA 23059-5783 | 2007-05-21 |
| 1801933007 | Zelda West Johnson | Family Medicine | 4101 Dominion Blvd, Glen Allen, VA 23060-3457 | 2007-01-30 |
| 1881792661 | Advanced Family Practice | Family Medicine | 11453 Abbots Cross Ln, Glen Allen, VA 23059-1102 | 2006-09-20 |
| 1467563627 | Ali A Mollah | Family Medicine | 5310 Twin Hickory Rd, Glen Allen, VA 23059-5682 | 2006-08-31 |
| 1336157858 | Commonwealth Primary Care | Family Medicine | 4050 Innslake Dr, Ste 308, Glen Allen, VA 23060 | 2006-08-03 |
| 1275562720 | Michael A Dawson | Family Medicine | 9900 W Broad St, Suite C, Glen Allen, VA 23060-6512 | 2006-06-30 |
| 1215963715 | Brian C. Bittner | Family Medicine | 5416 Hillshire Way, Glen Allen, VA 23059-7143 | 2006-06-25 |
| 1871538967 | Stephen G. Read | Family Medicine | 10571 Telegraph Rd, Suite 210, Glen Allen, VA 23059-4652 | 2006-06-20 |
| Find all providers in GLEN ALLEN | ||||
| City | GLEN ALLEN |
| Zip Code | 23059 |
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| 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.