Individual
DR. BRIAN THOMAS BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 POCOSHOCK PL, SUITE 103, NORTH CHESTERFIELD, VA 23235-6345
(804) 745-2200
(804) 745-9224
Mailing address
2500 POCOSHOCK PL, SUITE 103, NORTH CHESTERFIELD, VA 23235-6345
(804) 745-2200
(804) 745-9224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101042072
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033194774
—
VA
05
—
6023215
—
VA
Enumeration date
12/14/2005
Last updated
01/27/2022
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