SYBIL A BRADLEY-DALLAS


Address: 2138 Langhorne Square, Lynchburg, VA 24501
Phone: 4348453178

SYBIL A BRADLEY-DALLAS (NPI# 1558465922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558465922
Entity Type Individual
Full Name SYBIL A BRADLEY-DALLAS
Credential NP
Practice Address 2138 Langhorne Square
Lynchburg
VA 24501
Mailing Address 2207 Peters Creek Road
Roanoke
VA 24017-1618
Practice Telephone 4348453178
Practice Fax Number 4348468346
Mailing Fax Number 5405621567
Enumeration Date 2006-09-07
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
0024082899 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 010014786 05

Office Location

Street Address 2138 LANGHORNE SQUARE
City LYNCHBURG
State VA
Zip Code 24501

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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396014643 Kasey Elizabeth Kohring Nurse Practitioner 407 Federal St, Lynchburg, VA 24504-2459 2011-12-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1205253580 Bethanie Lynn Nice Nurse Practitioner 824 Greenbrier Pkwy Ste 100, Chesapeake, VA 23320 2014-03-24
1073856811 Mary Nottingham Nurse Practitioner 1119 2nd St Sw, Roanoke, VA 24016-4710 2013-03-30
1134465693 Renee Olexy Nurse Practitioner 844 Battlefield Blvd N Ste 100, Chesapeake, VA 23320-4802 2013-01-02
1821327024 Jennifer Connelly Reilly Nurse Practitioner 5875 Bremo Rd Ste 701, Richmond, VA 23226-1928 2009-12-17
1215137369 Phyllis Adams Mathews Nurse Practitioner 724. South Mason St., Harrisonburg, VA 22807 2007-07-18
1801923057 Joni Teresa White Nurse Practitioner 23191 Front St. Accomack County Health Dept., Accomac, VA 23301 2007-02-27
1336285709 Terry Marie Mcguirk Nurse Practitioner 1009 Seville Dr, Chesapeake, VA 23322-8027 2007-01-30
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Competitor

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City LYNCHBURG
Zip Code 24501

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Dataset Information

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.

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