Individual
JOHN JACKSON BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
RICHMOND VA MEDICAL CENTER OFFICE 1D-160, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
RICHMOND VA MEDICAL CENTER OFFICE 1D-160, RICHMOND, VA 23249-0001
(804) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102206874
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2019
Last updated
02/27/2025
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