NPI 1629637475 · live from the CMS NPI Registry
Bon Secours Medical Group Hampton Roads Specialty Care LLC
Internal Medicine, Cardiovascular Disease in Richmond, VA. National Provider Identifier 1629637475, active.
NPI record
| NPI | 1629637475 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 8580 Magellan Pkwy, Richmond, VA 23227 |
| Practice phone | 804-627-5573 |
| Mailing address | 4600 Mcauley Pl Ste 600, Blue Ash, OH 45242 |
| Enumerated | June 6, 2019 |
| Last updated | March 11, 2026 |
| Authorized official | Cassie Lowe, System Director, Payer Delegation & |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Surgery | 208600000X | — |
| Obstetrics & Gynecology, Gynecologic Oncology | 207VX0201X | — |
| Internal Medicine, Medical Oncology | 207RX0202X | — |
| Nurse Practitioner | 363L00000X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| 208VP0000X | — | |
| 2085R0001X | — | |
| Nurse Anesthetist, Certified Registered | 367500000X | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Obstetrics & Gynecology | 207V00000X | — |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.