Individual
DR. DOUGLAS MARK BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1733 ERICKSON AVENUE, HARRISONBURG, VA 22801
(540) 433-1530
(540) 433-3941
Mailing address
1733 ERICKSON AVENUE, HARRISONBURG, VA 22801
(540) 433-1530
(540) 433-3941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101035633
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001258
CIGNA
—
01
—
144274
SOUTHERN HEALTH
—
01
—
2115954289202
BEECH STREET
—
01
—
215233
MAMSI
—
01
—
279087
ANTHEM
—
05
—
5699266
—
VA
Enumeration date
07/07/2006
Last updated
10/28/2009
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