Taylor, Bradley R

Taylor, Bradley R is an individual health care provider with primary practice located at 4360 Shore Dr Ste 101 , Virginia Beach VA 23455-2994. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Taylor, Bradley R can be contacted via phone (757) 251-0879.

Contact Information

Primary practice address
4360 Shore Dr Ste 101 Virginia Beach VA 23455-2994
Phone: (757) 251-0879
Fax: (984) 220-9437
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0718000469 Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710102138 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701007601 Virginia

Profile Details

NPI number 1609363126
LBN Legal business name Taylor, Bradley R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2018
Last updated Apr 20th, 2023 - about 2 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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