Bradenham, Ben P

Bradenham, Ben P is an individual health care provider with primary practice located at 7611 Forest Ave Ste 410, Richmond VA 23229-4946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bradenham, Ben P can be contacted via phone (804) 285-2965.

Contact Information

Primary practice address
7611 Forest Ave Ste 410 Richmond VA 23229-4946
Phone: (804) 285-2965
Fax: (804) 282-0616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101029475 Virginia

Profile Details

NPI number 1275529968
LBN Legal business name Bradenham, Ben P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Nov 2nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275529968 NPPES
Virginia MEDICAID 006011420

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