# BRADLEE SPINE CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215159637
- **Authorized official:** RICHARD KEITH SOLOMON DC (PRESIDENT & CHIROPRACTOR)
- **Authorized official phone:** (703) 379-4055

## Contact information

- **Practice address:** 3541 W. BRADDOCK ROAD SUITE 203, ALEXANDRIA, VA 22032-1902
- **Practice address phone:** (703) 379-4055
- **Practice address fax:** (703) 379-1099
- **Mailing address:** 3541 W. BRADDOCK ROAD SUITE 203, ALEXANDRIA, VA 22032-1902
- **Mailing address phone:** (703) 379-4055
- **Mailing address fax:** (703) 379-1099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 0104001984 | VA | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 08/22/2020