| Bradley Alan Stovall, DO | |
|
11958 W Broad St, Henrico, VA 23233-1007 | |
| (804) 360-4669 | |
| (804) 364-6521 |
| Full Name | Bradley Alan Stovall |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 14 Years |
| Location | 11958 W Broad St, Henrico, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053607945 | NPI | - | NPPES |
| 559509 | Other | TX | TEXAS MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 0102204430 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours St Marys Hospital | Richmond, VA | Hospital |
| Henrico Doctors' Hospital | Richmond, VA | Hospital |
| Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| Cjw Medical Center | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthovirginia Inc | 0547157224 | 518 |
| Entity Name | Orthovirginia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Alan Stovall, DO 1115 Boulders Pkwy, Ste 200, North Chesterfield, VA 23225-4067 Ph: (804) 915-4607 | Bradley Alan Stovall, DO 11958 W Broad St, Henrico, VA 23233-1007 Ph: (804) 360-4669 |
Jessica Hupe, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11958 W Broad St, Henrico, VA 23233 Phone: 804-360-4669 Fax: 804-364-6557 | |
Trevor A Litwiler, PT, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 7858 Shrader Rd Fl 2, Henrico, VA 23294 Phone: 804-497-2583 |