DR. BRADLEY ROBERT PRESTIDGE


Address: 155 Kingsley Ln, Suite 100, Norfolk, VA 23505-4629
Phone: 7572782200

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
H8803 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 1134126220 05

Office Location

Street Address 155 KINGSLEY LN
SUITE 100
City NORFOLK
State VA
Zip Code 23505-4629

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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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City NORFOLK
Zip Code 23505

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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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