BON SECOURS SURGICAL DERMATOLOGY CENTER
NPI 1568899409
Dermatology in Glen Allen, VA

Active since October 10, 2013
5207 HICKORY PARK DR, SUITE A, GLEN ALLEN, VA 23059(804) 977-8938(804) 762-7102 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bon Secours Surgical Dermatology Center NPPES

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

BON SECOURS SURGICAL DERMATOLOGY CENTER (NPI 1568899409) is a healthcare organization registered as a dermatology in Glen Allen, Virginia and active in the NPI registry since October 2013. The organization lists George Butler, Director Corporate Responsibility, as its authorized official.

NPPES Registry Identity

NPI1568899409
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBON SECOURS VIRGINIA MEDICAL GROUP I, LLC
Location Address5207 HICKORY PARK DR, SUITE AGlen Allen, VA 23059-2624
Mailing Address5207 Hickory Park Dr, Suite AGlen Allen, VA 23059-2624 · (804) 977-8938 · Fax (804) 762-7102
Fax(804) 762-7102
Organization SubpartNo
Authorized OfficialGeorge ButlerDirector Corporate Responsibility · (804) 281-0271
Enumeration DateOctober 10, 2013
NPI 1568899409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5207 HICKORY PARK DR, Glen Allen, VA 23059

Other Names 1

Doing Business AsBon Secours Surgical Dermatology Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
5207 HICKORY PARK DR, SUITE A
GLEN ALLEN, VA 23059
Nurse Practitioner
5207 HICKORY PARK DR, SUITE A
GLEN ALLEN, VA 23059
Nurse Practitioner (Family)
5207 HICKORY PARK DR, SUITE A
GLEN ALLEN, VA 23059
Nurse Practitioner (Family)
5207 HICKORY PARK DR, SUITE A
GLEN ALLEN, VA 23059
Dermatology
5207 HICKORY PARK DR, SUITE A
GLEN ALLEN, VA 23059
Pediatrics
5207 HICKORY PARK DR, SUITE C
GLEN ALLEN, VA 23059
Nurse Practitioner (Pediatrics)
5207 HICKORY PARK DR, SUITE C
GLEN ALLEN, VA 23059
Internal Medicine
5207 HICKORY PARK DR, SUITE A
GLEN ALLEN, VA 23059

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 Virginia Medical Group I, LLC's NPI number?

The NPI number for Bon Secours Virginia Medical Group I, LLC is 1568899409. It was assigned to this organization in the NPPES registry on October 10, 2013. The provider is doing business as Bon Secours Surgical Dermatology Center.

Where is Bon Secours Virginia Medical Group I, LLC located?

Bon Secours Virginia Medical Group I, LLC is located at 5207 Hickory Park Dr Suite A, Glen Allen, VA 23059. The listed phone number is (804) 977-8938.

What is Bon Secours Virginia Medical Group I, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Bon Secours Virginia Medical Group I, LLC was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.