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Contact Information

MARK A. BRADLEY
111 ELM STREET
WEBER CITY, VA24290
 Phone: 276-386-7778
 Fax: 276-386-7857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Chiropractor

111N00000X 35 Chiropractic
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARK A BRADLEY · (Female)

NPI # 1487740049
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0017138087
  • VA License # 0024166505
  • VA License # 0101036553
  • VA License # 0104556003
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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