| Mr Bradley Daniel Demery, RN | |
| 
					10543 S Crater Rd, South Prince George, VA 23805-7333  | |
| (800) 805-6989 | |
| Not Available | 
| Full Name | Mr Bradley Daniel Demery | 
|---|---|
| Gender | Male | 
| Speciality | Registered Nurse | 
| Location | 10543 S Crater Rd, South Prince George, Virginia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841897832 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001240362 (Virginia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Bradley Daniel Demery, RN 216 Wisteria Ln Apt 1d, Petersburg, VA 23805-9167 Ph: (804) 658-6184  | Mr Bradley Daniel Demery, RN 10543 S Crater Rd, South Prince George, VA 23805-7333 Ph: (800) 805-6989  | 
Gabrielle Sinclair,  Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585  | |
Shannon Oconnor,  Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 800-805-6989  |