# BON SECOURS VIRGINIA MEDICAL GROUP I, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Bon Secours Good Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619304789
- **Authorized official:** GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILITY)
- **Authorized official phone:** (804) 281-0271

## Contact information

- **Practice address:** 5875 BREMO RD, SUITE 204, RICHMOND, VA 23226-1934
- **Practice address phone:** (804) 977-8915
- **Practice address fax:** (804) 288-1326
- **Mailing address:** 5875 BREMO RD, SUITE 204, RICHMOND, VA 23226-1934
- **Mailing address phone:** (804) 977-8915
- **Mailing address fax:** (804) 288-1326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2013
- **Last updated:** 10/03/2013