Individual
DR. BRADLEY J GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6701 PETERS CREEK RD STE 110, ROANOKE, VA 24019-4060
(800) 765-7130
(888) 500-1891
Mailing address
6701 PETERS CREEK RD STE 110, ROANOKE, VA 24019-4060
(800) 765-7130
(888) 500-1891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102-201348
VA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
2007-01414
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285617241
—
VA
Enumeration date
11/23/2005
Last updated
10/20/2021
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