Williams, Bradley Ward
Williams, Bradley Ward is an individual health care provider with primary practice located at 2331 Franklin Rd Sw , Roanoke VA 24014-1111. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Williams, Bradley Ward can be contacted via phone (540) 725-1226.Contact Information
Primary practice address
2331 Franklin Rd Sw
Roanoke VA 24014-1111
Phone: (540) 725-1226
Fax: (540) 857-5306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 0110840740 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110840740 | Virginia |
Profile Details
| NPI number | 1851379655 |
|---|---|
| LBN Legal business name | Williams, Bradley Ward |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Sep 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851379655 | NPPES |
| Virginia | Other | 371194700 | BLACK LUNG |
| Virginia | Other | 540506332108 | BLACK LUNG |
| Virginia | Other | 1851379655 | BLACK LUNG |
| Virginia | Other | 1851379655 | BLACK LUNG |
| Virginia | Other | 1851379655 | BLACK LUNG |
| Virginia | Other | 1851379655 | BLACK LUNG |
| Virginia | Other | 1851379655 | BLACK LUNG |
| Virginia | Other | 1851679655 | BLACK LUNG |
| Virginia | MEDICAID | 1851379655 | BLACK LUNG |
| Virginia | Other | P00831117 | BLACK LUNG |
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