Dr. Bonnie Caukins Revelle
MD | Pediatric Neonatal-Perinatal Medicine | Female
Dr. Bonnie Caukins Revelle, MD is a Norfolk, Virginia based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Bonnie Caukins Revelle is
601 Childrens Ln, Norfolk, Virginia - 23507-1910. She can be contacted on phone at
757-668-7456 and fax number 757-668-9255.
Dr. Bonnie Caukins Revelle is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Bonnie Caukins Revelle is
1225087349 which was assigned by NPPES on 08 May, 2006 and it was last updated on 14 May, 2020.
Dr. Bonnie Caukins Revelle license number is
0101240729 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Virginia.
Dr. Bonnie Caukins Revelle is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Bonnie Caukins Revelle basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Bonnie Caukins Revelle |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Bonnie Caukins Revelle address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 601 Childrens Ln
Norfolk, VA, 23507-1910
United States |
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| Phone Number : | 757-668-7456 |
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| Fax Number : | 757-668-9255 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1225087349 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 May, 2006 |
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| Last Updated On : | 14 May, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bonnie Caukins Revelle are as mentioned. Primary taxonomy code for Dr. Bonnie Caukins Revelle, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 27288 | NC |
| 208000000X | Pediatrics | No | 0101240729 | VA |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 0101240729 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Bonnie Caukins Revelle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 561929096 | Other | NC | FEDERAL TAX ID NUMBER |
| 8971295 | MEDICAID | NC | |
| 71295 | Other | NC | BLUE CROSS BLUE SHIELD |
| 890160M | MEDICAID | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 811 Redgate Ave
Norfolk, VA, 23507-1515
United States |
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| Phone Number : | 757-668-7007 |
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| Fax Number : | 757-668-8658 |
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Business Location:
Patients can refer following map for directions to
Dr. Bonnie Caukins Revelle practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.