Individual
BRADLEY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW STE 203, ROANOKE, VA 24014-2465
(540) 982-8204
(540) 224-1059
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101264766
VA
207RC0000X
Cardiovascular Disease Physician
0101264766
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2015
Last updated
01/28/2026
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