Bradshaw, Robert Dana
Bradshaw, Robert Dana is an individual health care provider with primary practice located at 825 Fairfax Ave Hofheimer Hall, Suite 118, Norfolk VA 23507-1914. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bradshaw, Robert Dana can be contacted via phone (757) 446-5955.Contact Information
Primary practice address
825 Fairfax Ave Hofheimer Hall, Suite 118
Norfolk VA 23507-1914
Phone: (757) 446-5955
Fax: (757) 446-5196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101244161 | Virginia |
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 0101244161 | Virginia |
Profile Details
| NPI number | 1982741872 |
|---|---|
| LBN Legal business name | Bradshaw, Robert Dana |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jan 30th, 2015 - about 9 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 | 1982741872 | NPPES |
| Virginia | Other | PAR | VIRGINIA HEALTH NETWORK |
| Virginia | Other | 10086236 | VIRGINIA HEALTH NETWORK |
| Virginia | Other | 455290 | VIRGINIA HEALTH NETWORK |
| Virginia | MEDICAID | 1982741872 | VIRGINIA HEALTH NETWORK |
| Virginia | Other | PAR | VIRGINIA HEALTH NETWORK |
| Virginia | Other | 19827411872 | VIRGINIA HEALTH NETWORK |
| Virginia | Other | PAR | VIRGINIA HEALTH NETWORK |
| Virginia | Other | -003 | VIRGINIA HEALTH NETWORK |
| Virginia | Other | PAR | VIRGINIA HEALTH NETWORK |
| Virginia | Other | -002 | VIRGINIA HEALTH NETWORK |
| Virginia | Other | 1982741872 | VIRGINIA HEALTH NETWORK |
| Virginia | Other | 1982741872 | VIRGINIA HEALTH NETWORK |
| Virginia | MEDICAID | 1982741872 | VIRGINIA HEALTH NETWORK |
| Virginia | Other | PAR | VIRGINIA HEALTH NETWORK |
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