DR. BRADLEY ROBERT PRESTIDGE (NPI# 1134126220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134126220 |
Entity Type | Individual |
Full Name | DR. BRADLEY ROBERT PRESTIDGE |
Credential | MD |
Practice Address |
155 Kingsley Ln Suite 100 Norfolk VA 23505-4629 |
Mailing Address |
7007 Harbour View Blvd Suite 108 Suffolk VA 23435-3657 |
Practice Telephone | 7572782200 |
Practice Fax Number | 7574890029 |
Mailing Telephone | 7572152784 |
Mailing Fax Number | 7572152728 |
Enumeration Date | 2005-07-05 |
Last Update Date | 2016-03-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
H8803 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1134126220 | 05 |
Street Address |
155 KINGSLEY LN SUITE 100 |
City | NORFOLK |
State | VA |
Zip Code | 23505-4629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285126219 | Yolanda Brooks | Nurse Practitioner | 155 Kingsley Ln, Norfolk, VA 23505-4629 | 2018-06-05 |
1376992636 | Maryview Hospital | Internal Medicine | 155 Kingsley Ln, Suite 150, Norfolk, VA 23505-4629 | 2016-06-08 |
1083094718 | Jennifer Evans | Nurse Practitioner | 155 Kingsley Ln, Suite 400, Norfolk, VA 23505-4629 | 2015-06-08 |
1396177713 | Leila Olivia Gino-gino Bumanglag | Internal Medicine | 155 Kingsley Ln, Suite 400, Norfolk, VA 23505-4629 | 2013-08-08 |
1922218965 | Elizabeth Zarkin Barrett | Surgery | 155 Kingsley Ln, Suite 405, Norfolk, VA 23505-4629 | 2007-05-22 |
1588707103 | Yassar K Youssef | Surgery | 155 Kingsley Ln, Ste 400, Norfolk, VA 23505-4629 | 2007-02-14 |
1033228671 | Gregory B Franz | Internal Medicine | 155 Kingsley Ln, Ste 150, Norfolk, VA 23505-4628 | 2006-08-29 |
1154377471 | Carol Ann Ascher | Nurse Practitioner | 155 Kingsley Ln, Suite 405, Norfolk, VA 23505-4629 | 2006-05-26 |
1225083538 | Riverpoint Psychiatric Assocs Inc | Social Worker | 155 Kingsley Ln, Suite 320, Norfolk, VA 23505-4629 | 2006-05-24 |
1104881002 | Jacob W. Miller | Family Medicine | 155 Kingsley Ln, Suite 400, Norfolk, VA 23505-4629 | 2006-04-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
Find all providers in zip 23505 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174693063 | Andrew Stuart Camarata | Radiology | 155 Kingsley Ln Ste 100, Norfolk, VA 23505-4630 | 2006-11-08 |
1447216866 | David M. Randolph | Radiology | 5900 Lake Wright Dr Ste B, Norfolk, VA 23502-1871 | 2006-04-25 |
1073955001 | Bon Secours Depaul Medical Center Inc | Radiology | 155 Kingsley Ln Ste 100, Norfolk, VA 23505-4630 | 2013-07-18 |
1750510236 | Edwin Fulghum Crandley | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2009-07-06 |
1023242583 | Hadi Zahra | Radiology | 110 N 29th St, Suite 101, Norfolk, NE 68701-4424 | 2009-05-12 |
1639311632 | Erik Karl Lappinen | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2009-04-06 |
1881848091 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2008-11-14 |
1225282569 | Evms Academic Physicians and Surgeons Health Services Foundation | Radiology | 5900 Lake Wright Dr Ste B, Norfolk, VA 23502-1871 | 2008-11-13 |
1336354745 | Lara P Bonner Millar | Radiology | 600 Gresham Dr, Radiation Oncology, Norfolk, VA 23507-1904 | 2007-05-11 |
1114011939 | Mohammed Khaled Zahra | Radiology | 110 N 29th St, Suite 101, Norfolk, NE 68701-4424 | 2006-10-03 |
Find all providers in NORFOLK |
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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.