Individual
PERRY BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1215 LEE ST, BOX 800376, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5078
(434) 924-8118
Mailing address
1215 LEE ST, BOX 800376, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5078
(434) 924-8118
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD210011514
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2017
Last updated
03/05/2025
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