Organization · Type 2 NPI

Bon Secours Medical Group Hampton Roads Specialty Care LLC

Cardiovascular Disease Physician · Richmond, VA

NPI number 1629637475 Active

Practice location

8580 Magellan Pkwy
Richmond, VA 23227-1149

Call (804) 627-5573 Map

Fax (866) 449-0896

Mailing address

4600 Mcauley Pl Ste 600
Blue Ash, OH 45242-4778

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Gastroenterology Physician 207RG0100XNone listed
Pulmonary Disease Physician 207RP1001XNone listed
Medical Oncology Physician 207RX0202XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Gynecologic Oncology Physician 207VX0201XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Neurology Physician 2084N0400XNone listed
Psychiatry Physician 2084P0800XNone listed
Radiation Oncology Physician 2085R0001XNone listed
Surgery Physician 208600000XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XNone listed
Pain Medicine Physician 208VP0000XNone listed
Nurse Practitioner 363L00000XNone listed
Certified Registered Nurse Anesthetist 367500000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

18 other providers at this address

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About NPI 1629637475

Bon Secours Medical Group Hampton Roads Specialty Care LLC's National Provider Identifier is 1629637475, issued on Jun 6, 2019. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Richmond, VA. The record was last updated on Mar 11, 2026.