Bradner, Melissa K
Bradner, Melissa K is an individual health care provider with primary practice located at 1250 E. Marshall Street Family Medicine, Richmond VA 23298-0510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bradner, Melissa K can be contacted via phone (804) 828-9626.Contact Information
Primary practice address
1250 E. Marshall Street Family Medicine
Richmond VA 23298-0510
Phone: (804) 828-9626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101058378 | Virginia |
Profile Details
| NPI number | 1619085552 |
|---|---|
| LBN Legal business name | Bradner, Melissa K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619085552 | NPPES |
| Virginia | MEDICAID | 010202914 54158118 |
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