Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bon Secours Virginia Medical Group I, LLC

Organization Dermatology Physician · NPI 1568899409

Bon Secours Virginia Medical Group I, LLC provides Dermatology Physician services in Glen Allen, Virginia. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5207 Hickory Park Dr Ste A
Glen Allen, VA 23059-2624 Not confirmed with CMS for 12 years — call before visiting
Phone: (804) 977-8938
Fax: (804) 762-7102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1568899409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Butler — Director Corporate Responsibility · (804) 281-0271
Other names Bon Secours Surgical Dermatology Center
NPI enumeratedOctober 10, 2013
Last updated in NPPESOctober 10, 2013
Mailing address5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624

Other providers in Glen Allen