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BON SECOURS SPORTS MEDICINE & PRIMARY CARE
NPI 1255776290
Internal Medicine - Sports Medicine in Richmond, VA

Active since May 03, 2013CLIA 49D2060156 · Waiver
2401 W LEIGH STREET, RICHMOND, VA 23220(804) 325-8801(804) 213-3051 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2019, Oct 24, 2018 (2 updates tracked since 2018).

About Bon Secours Sports Medicine & Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BON SECOURS SPORTS MEDICINE & PRIMARY CARE (NPI 1255776290) is a healthcare organization registered as a sports medicine in Richmond, Virginia and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Stephan Quiriconi, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255776290
Entity TypeOrganization
Primary Taxonomy207RS0010X
Legal Business NameBON SECOURS-ST. MARY'S HOSPITAL OF RICHMOND, INC.
Location Address2401 W LEIGH STREETRichmond, VA 23220-1328
Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · Fax (866) 449-0896
Phone(804) 325-8801
Fax(804) 213-3051
Organization SubpartNo
Authorized OfficialStephan QuiriconiCfo · (804) 281-8301
Enumeration DateMay 3, 2013
Last NPPES UpdateAugust 30, 20192 updates tracked since enumeration
✔ NPI 1255776290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0010X
Definition
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
2401 W LEIGH STREET, Richmond, VA 23220
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Other Names 1

Doing Business AsBon Secours Sports Medicine & Primary Care

Other Identifiers 1

OtherC06778VA · Group Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2060156

Bon Secours Sports Medicine & Primary Care · Richmond, VA
Active · expires Jan 31, 2028
CLIA Number49D2060156
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorLloyd A. Bonner
Laboratory Phone(804) 325-8801
Laboratory LocationBon Secours Sports Medicine & Primary Care2230 West Broad Street, Suite 103, Richmond, VA 23220
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bon Secours-St. Mary's Hospital Of Richmond, Inc.'s NPI number?

The NPI number for Bon Secours-St. Mary's Hospital Of Richmond, Inc. is 1255776290. It was assigned to this organization in the NPPES registry on May 3, 2013. The provider is doing business as Bon Secours Sports Medicine & Primary Care.

Where is Bon Secours-St. Mary's Hospital Of Richmond, Inc. located?

Bon Secours-St. Mary's Hospital Of Richmond, Inc. is located at 2401 W Leigh Street, Richmond, VA 23220. The listed phone number is (804) 325-8801.

What is Bon Secours-St. Mary's Hospital Of Richmond, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Does Bon Secours-St. Mary's Hospital Of Richmond, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2060156) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bon Secours-St. Mary's Hospital Of Richmond, Inc. was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.