| Bradley Brian Hendricks, DO | |
|
7519 Hospital Dr, Gloucester, VA 23061-4178 | |
| (804) 693-8800 | |
| Not Available |
| Full Name | Bradley Brian Hendricks |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 15 Years |
| Location | 7519 Hospital Dr, Gloucester, 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 |
|---|---|---|---|
| 1053639872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0102204118 (Virginia) | Secondary |
| 208M00000X | Hospitalist | 0102204118 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Home Health | Newport news, VA | Home health agency |
| Riverside Walter Reed Hospital | Gloucester, VA | Hospital |
| Riverside Regional Medical Center | Newport news, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Physician Services Inc | 5092608448 | 713 |
| Entity Name | Riverside Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Brian Hendricks, DO 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 Ph: (757) 594-4006 | Bradley Brian Hendricks, DO 7519 Hospital Dr, Gloucester, VA 23061-4178 Ph: (804) 693-8800 |
Robert David Cross, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 7519 Hospital Dr, Gloucester, VA 23061 Phone: 804-693-8800 Fax: 804-693-8812 | |
Dr. Joseph Morris Iii, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 7552 Hospital Dr Ste 302, Gloucester, VA 23061 Phone: 804-693-9062 Fax: 804-693-9875 |