Individual
DR. MICHAEL JOSEPH BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7101 JAHNKE RD, HCA, RICHMOND, VA 23225
(804) 327-4046
Mailing address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 327-4046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101243395
VA
207R00000X
Internal Medicine Physician
Primary
0116017379
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922270644
NPI
VA
Enumeration date
04/02/2008
Last updated
01/06/2009
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