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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

NPI Number 1487740049
LBN Legal business name MARK A. BRADLEY
Authorized official JON-MARC BRADLEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
VA License # 0017138087
VA License # 0024166505
VA License # 0101036553
VA License # 0104556003
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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