Organization · Type 2 NPI

Bon Secours Depaul Medical Center LLC

Family Medicine Physician · Norfolk, VA

NPI number 1619001906 Active

Practice location

155 Kingsley Ln Ste 400
Norfolk, VA 23505-4629

Call (757) 278-2240 Map

Fax (757) 489-6469

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	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.

7 other providers at this address

Other family medicine physician providers in Norfolk

See all in Norfolk →

NPI record

NPI: 1619001906
Entity type: Organization (Type 2)
Issued: Mar 16, 2007
Last updated: Sep 22, 2020
Status: Active
Subpart: Yes of Bon Secours Depaul Medical Center LLC

Other names

<unavail>
Depaul Medical Associates · doing business as
Depaul Medical Associates · doing business as

Authorized official

Wilbur Gay
CFO
(864) 561-7672

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.

Is this your record? How to update it.

About NPI 1619001906

Bon Secours Depaul Medical Center LLC's National Provider Identifier is 1619001906, issued on Mar 16, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Norfolk, VA. The record was last updated on Sep 22, 2020.