Organization · Type 2 NPI

Bon Secours-Virginia Healthsource, Inc.

Family Medicine Physician · Glen Allen, VA

NPI number 1588697148 Active

Practice location

10571 Telegraph Rd, Suite 130
Glen Allen, VA 23059

Call (804) 266-7611 Map

Fax (804) 262-9249

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: 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.

24 other providers at this address

Other family medicine physician providers in Glen Allen

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NPI record

NPI: 1588697148
Entity type: Organization (Type 2)
Issued: Jul 8, 2006
Last updated: Aug 30, 2019
Status: Active

Other names

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Brook Run Family Physicians · doing business as
Brook Run Family Physicians · doing business as

Authorized official

Stephan Quiriconi
CFO
(804) 281-8301

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1588697148

Bon Secours-Virginia Healthsource, Inc.'s National Provider Identifier is 1588697148, issued on Jul 8, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Glen Allen, VA. The record was last updated on Aug 30, 2019.