Butkovich, Bradley T

Butkovich, Bradley T is an individual health care provider with primary practice located at 6160 Kempsville Cir Suite 200B, Norfolk VA 23502-3933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Butkovich, Bradley T can be contacted via phone (757) 321-3383.

Contact Information

Primary practice address
6160 Kempsville Cir Suite 200B Norfolk VA 23502-3933
Phone: (757) 321-3383
Fax: (757) 321-3332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101237415 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 0101237415 Virginia

Profile Details

NPI number 1154372712
LBN Legal business name Butkovich, Bradley T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 8th, 2021 - about 3 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 1154372712 NPPES
Virginia Other C05501 MEDICARE GROUP PIN
Virginia MEDICAID 1154372712 MEDICARE GROUP PIN

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