Bradshaw, Brian Thomas

Bradshaw, Brian Thomas is an individual health care provider with primary practice located at 2500 Pocoshock Pl Suite 103, North Chesterfield VA 23235-6345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bradshaw, Brian Thomas can be contacted via phone (804) 745-2200.

Contact Information

Primary practice address
2500 Pocoshock Pl Suite 103 North Chesterfield VA 23235-6345
Phone: (804) 745-2200
Fax: (804) 745-9224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101042072 Virginia

Profile Details

NPI number 1033194774
LBN Legal business name Bradshaw, Brian Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jan 27th, 2022 - about 4 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 1033194774 NPPES
Virginia MEDICAID 1033194774
Virginia MEDICAID 6023215

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