Organization
EVENTUS PREMIER HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY GOAD DO (OWNER)
(540) 488-2200
Entity
Organization
Contact information
Practice address
250 BROWNS HILL CT, MIDLOTHIAN, VA 23114-9510
(980) 271-2563
Mailing address
PO BOX 1431 DEPT. 380, CHARLOTTE, NC 28201-1431
(512) 792-4402
(512) 792-4420
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/21/2024
Last updated
10/25/2025
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