MARK A. BRADLEY (NPI# 1487740049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487740049 |
| Entity Type | Organization |
| Organization Name | MARK A. BRADLEY |
| Other Organization Name | VIRGINIA CENTER FOR INTEGRATIVE MEDICINE |
| Practice Address |
111 Elm Street Weber City VA 24290 |
| Practice Telephone | 2763867778 |
| Practice Fax Number | 2763867857 |
| Mailing Telephone | 2763867778 |
| Mailing Fax Number | 2763867857 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JON-MARC BRADLEY (OWNER) |
| Authorized Official Telephone | 2763867778 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | 0104556003 | VA | Chiropractic Providers |
| X | 207R00000X | Internal Medicine | 0101036553 | VA | Allopathic & Osteopathic Physicians |
| X | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024166505 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
0017138087 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Virginia Center for Integrative Medicine | Doing Business As Name - Organization |
| Street Address |
111 ELM STREET |
| City | WEBER CITY |
| State | VA |
| Zip Code | 24290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861598211 | Marc Bradley | Chiropractor | 111 Elm Street, Weber City, VA 24290 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831654250 | Nikki Fields | Occupational Therapy Assistant | 337 Clonce St, Weber City, VA 24290 | 2019-02-11 |
| 1386055598 | Family Preservation Services, Inc. | Community/Behavioral Health | 155 Elm Street, Weber City, VA 24290 | 2014-05-12 |
| 1649413386 | Leigh Anne Young | Internal Medicine | 280 Frank B Smith Drive, Weber City, VA 24290 | 2009-04-10 |
| 1528187135 | Mountain Connectioins, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 114 Laurel Street, Weber City, VA 24290 | 2007-03-28 |
| 1194881623 | Frontier Health | Case Management | 1006 Us Highway 23n, Weber City, VA 24290 | 2006-12-29 |
| 1538235296 | Scott County Drug | Durable Medical Equipment & Medical Supplies | 2834 Us Hwy 23 N, Weber City, VA 24290 | 2006-11-27 |
| 1104999820 | Heartland South Inc | Custodial Care Facility | 120 Us Highway 23n, Weber City, VA 24290 | 2006-11-17 |
| 1508881517 | Beth Cloyd Baker | Speech-Language Pathologist | 322 Jennings St, Weber City, VA 24290 | 2006-07-12 |
| 1013909423 | Harland D Simpson | Anesthesiology | 280 Frank B. Smith Drive, Weber City, VA 24290 | 2005-08-22 |
| 1194238071 | Laura Jessica Templeton | Nurse Practitioner | 280 Frank B Smith Drive, Weber City, VA 24290 | 2017-11-14 |
| Find all providers in zip 24290 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083834279 | Cornerstone Health Group, P.C. | Chiropractor | 111 Elm St N, Weber City, VA 24290-6303 | 2007-04-27 |
| 1083798557 | John Franklin Ellis | Chiropractor | 2368 Us Highway 23 N, Ste 102, Weber City, VA 24290-7384 | 2006-10-24 |
| 1861598211 | Marc Bradley | Chiropractor | 111 Elm Street, Weber City, VA 24290 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494950 | Advanced Chiropractic & Sports Rehabilitation | Chiropractor | 22611 Markey Ct Ste 105, Sterling, VA 20166-6925 | 2020-10-12 |
| 1588261960 | Jacob Chernichky | Chiropractor | 1585 Roanoke Rd, Daleville, VA 24083-2914 | 2020-10-08 |
| 1740887421 | Robyn Victoria Kirby | Chiropractor | 1762 Tyler Rd, Christiansburg, VA 24073-6154 | 2020-10-05 |
| 1053928820 | Movement Methods Chiropractic | Chiropractor | 1276 N Wayne St Apt 617, Arlington, VA 22201-5852 | 2020-09-25 |
| 1265047393 | The Adjustment, Pllc | Chiropractor | 10130 Colvin Run Rd Ste C, Great Falls, VA 22066-1839 | 2020-09-15 |
| 1548874043 | Anam Malik | Chiropractor | 610 Truman Cir Sw, Vienna, VA 22180-6422 | 2020-09-02 |
| 1861006322 | Amato Chiropractic and Rehabilitation Clinic Waynesboro PC | Chiropractor | 2556 Jefferson Hwy Ste 104, Waynesboro, VA 22980-6555 | 2020-09-02 |
| 1114539038 | Jamie Paquette | Chiropractor | 4808 Courthouse St Ste 202, Williamsburg, VA 23188-2684 | 2020-08-21 |
| 1386254084 | Jamie L Sullivan | Chiropractor | 4532 Bonney Rd Ste D, Virginia Beach, VA 23462-3870 | 2020-08-06 |
| 1427674233 | Merrifield Family Chiropractic LLC | Chiropractor | 2750 Prosperity Ave Ste 120, Fairfax, VA 22031-4336 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | WEBER CITY |
| Zip Code | 24290 |
Please comment or provide details below to improve the information on MARK A. BRADLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.