Provider Demographics
NPI:1831152909
Name:BOKINSKY, GARY B (MD, FACS)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:B
Last Name:BOKINSKY
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9101 STONY POINT DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235
Mailing Address - Country:US
Mailing Address - Phone:804-330-9105
Mailing Address - Fax:804-287-6119
Practice Address - Street 1:9101 STONY POINT DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235
Practice Address - Country:US
Practice Address - Phone:804-330-9105
Practice Address - Fax:804-287-6119
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101 023780208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1900006OtherUNITED HEALTHCARE
VA24390OtherALLIANCE
VA4063310OtherAETNA PPO
VA70244OtherSOUTHERN HEALTH
VA2035OtherCIGNA
VA45719OtherSENTARA FAMILY CARE
VA007504543Medicaid
VA227426493OtherTRICARE
VA642076000-00OtherQUALCHOICE
VA36466OtherCARENET
VA790396OtherAETNA HMO
VA24390OtherALLIANCE
VA227426493OtherTRICARE
VA340000024Medicare ID - Type Unspecified
VA642076000-00OtherQUALCHOICE