Mark A. Bradley is a
Nurse Practitioner - Family based in Weber City, Virginia. Mark A. Bradley is licensed to practice in Virginia (license number 0017138087) and their current practice location is
111 Elm Street, Weber City, Virginia. It can be reached at their office (for appointments etc.) via phone at
(276) 386-7778.
NPI number for Mark A. Bradley is 1487740049 and their current mailing address is 111 Elm Street, Weber City, Virginia. Mark A. Bradley
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1487740049.
Healthcare Provider's Profile
| Full Name | Mark A. Bradley |
|---|
| Type | Facility |
|---|
| Speciality | Nurse Practitioner - Family |
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| Location | 111 Elm Street, Weber City, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487740049
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Mark A. Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487740049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 0104556003 (Virginia) | Primary |
| 207R00000X | Internal Medicine | 0101036553 (Virginia) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 0024166505 (Virginia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 0017138087 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark A. Bradley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark A. Bradley
111 Elm Street,
Weber City, VA 24290
Ph: (276) 386-7778 | Mark A. Bradley
111 Elm Street,
Weber City, VA 24290
Ph: (276) 386-7778 |
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