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Contact Information

BRADLEY K GORE, MD
9430 FORESTWOOD LANE
SUITE 100
MANASSAS, VA20110
 Phone: 703-365-0227
 Fax: 703-365-0332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BRADLEY K GORE · (Male)

NPI Number 1265491526
Status Active
Credentials MD
Entity Individual
Enumeration date 03/23/2006
Last updated 12/14/2009 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 26427
  • VA License # 0101246204
  • VA Medicaid 1265491526
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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