Individual
DR. BRADLEY J WINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6354 WALKER LN STE 400, ALEXANDRIA, VA 22310-3252
(571) 472-7320
(571) 472-7321
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101034554
VA
207RG0100X
Gastroenterology Physician
Primary
0101034554
VA
207RG0100X
Gastroenterology Physician
D27943
MD
207RG0100X
Gastroenterology Physician
MD12776
DC
Other
Enumeration date
11/28/2006
Last updated
10/06/2022
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