Organization
VILLAGE DOCTOR, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDWARD BRADY MD (PRESIDENT)
(757) 223-0124
Entity
Organization
Contact information
Practice address
10222 WARWICK BLVD, NEWPORT NEWS, VA 23601-4029
(757) 223-0124
(757) 223-0127
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0591153-2
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49D1014015
CLIA LAB NUMBER
VA
Enumeration date
02/01/2007
Last updated
03/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us