Mark A. Bradley is a Family in Weber City, Virginia. Mark A. Bradley practices all healthcare services and medical treatments related to Family. The NPI Number for Mark A. Bradley is 1487740049. The last update date is 2020-08-22.
Mark A. Bradley's current location address is 111 Elm Street, Weber City, Virginia. You can contact this provider via phone number 2763867778 and fax number 2763867857. The mailing address for Mark A. Bradley is 111 Elm Street, Weber City, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark A. Bradley |
|---|---|
| Address | 111 Elm Street, Weber City, Virginia |
| Phone Number | 2763867778 |
| Fax Number | 2763867857 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bradley Jon-Marc |
| Credentials | DC |
| Telephone Number | 2763867778 |
NPI Number Detail
| NPI Number | 1487740049 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 111 Elm Street |
|---|---|
| City | Weber City |
| State | Virginia (VA) |
| Post Code | 24290 |
| Phone Number | 2763867778 |
| Fax Number | 2763867857 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 17138087 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identification code assigned to Mark A. Bradley by the Centers for Medicare & Medicaid Services?
The Mark A. Bradley has been issued the NPI (National Provider Identifier) 1487740049. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark A. Bradley located?
The Mark A. Bradley is located at 111 Elm Street, Weber City, VA 24290.
What is the area of specialization for Mark A. Bradley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark A. Bradley is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1487740049 to Mark A. Bradley?
The Centers for Medicare & Medicaid Services assigned the 1487740049 to Mark A. Bradley on 2006-10-04.
When was the information pertaining to Mark A. Bradley most recently updated or revised?
The details related to Mark A. Bradley, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.