Bradley Dean Vandyke in Vansant - Sports Physician
Bradley Dean Vandyke - NPI 1013981356
Bradley Dean Vandyke is a Sports Physician in Vansant, Virginia. Bradley Dean Vandyke practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Bradley Dean Vandyke is 1013981356. The last update date is 2011-11-28.
Bradley Dean Vandyke's current location address is Po Box 855, Vansant, Virginia. You can contact this provider via phone number 2765978387 and fax number 2765972154. The mailing address for Bradley Dean Vandyke is Po Box 855, Vansant, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Dean Vandyke |
|---|---|
| Address | Po Box 855, Vansant, Virginia |
| Phone Number | 2765978387 |
| Fax Number | 2765972154 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1013981356 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2011-11-28 |
Provider Mailing Address Detail
| Address | Po Box 855 |
|---|---|
| City | Vansant |
| State | Virginia (VA) |
| Post Code | 246560855 |
| Phone Number | 2765978387 |
| Fax Number | 2765972154 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 104001184 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7600037000 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bradley Dean Vandyke by the Centers for Medicare & Medicaid Services?
The Bradley Dean Vandyke has been issued the NPI (National Provider Identifier) 1013981356 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Bradley Dean Vandyke?
The Bradley Dean Vandyke is situated at Po Box 855, in the city of Vansant, state of VA, with the zip code 246560855.
What is Bradley Dean Vandyke's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bradley Dean Vandyke is Sports Physician, and the taxonomy code that classifies this field of practice is 111Ns0005X.
On what date did Bradley Dean Vandyke receive its 1013981356 assignment from the Centers for Medicare & Medicaid Services?
The Bradley Dean Vandyke was assigned its 1013981356 on 2006-02-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Bradley Dean Vandyke's information last updated?
The Bradley Dean Vandyke's information was last updated on 2011-11-28.
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