BRADLEY R TAYLOR SR. (NPI# 1609363126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609363126 |
Entity Type | Individual |
Full Name | BRADLEY R TAYLOR SR. |
Practice Address |
2697 International Pkwy Ste 104-1 Virginia Beach VA 23452-7805 |
Practice Telephone | 7574861143 |
Practice Fax Number | 7574861663 |
Mailing Telephone | 7574861143 |
Mailing Fax Number | 7574861663 |
Enumeration Date | 2018-04-19 |
Last Update Date | 2020-06-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0710102138 | VA | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
0701007601 | VA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2006 Old Greenbrier Rd Ste 4, Chesapeake, VA 233202648 | 7574861143 | 7574861663 |
808 Live Oak Dr Ste 100, Chesapeake, VA 233202622 | 7574861143 | 7574861663 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528247 | Bradley Taylor | Student in an Organized Health Care Education/Training Program | 808 Carter St Se, Ardmore, OK 73401-8524 | 2020-11-04 |
1508388240 | Bradley Neal Taylor | Nurse Practitioner | 1893 Kingsley Ave Ste C&d, Orange Park, FL 32073-4491 | 2017-07-14 |
1437548377 | Bradley Taylor | Nurse Anesthetist, Certified Registered | 1321 Mission Creek Dr, Longview, TX 75601-8604 | 2015-01-15 |
1639376239 | Bradley Alan Taylor | Dentist | 2517 Burns Rd, Palm Beach Gardens, FL 33410-5204 | 2007-06-28 |
1417070368 | Bradley E Taylor | Specialist/Technologist | 1 Neumann Dr, Aston, PA 19014-1277 | 2007-04-07 |
1508360553 | Bradley Joel Taylor | Optometrist | 1100 N College Ave, Fayetteville, AR 72703 | 2018-03-22 |
1922529080 | Bradley Shane Taylor | Nurse Practitioner | 4645 Village Square Dr Ste C, Paducah, KY 42001-7448 | 2017-06-29 |
1194262675 | Bradley Taylor | Physician Assistant | 200 Robinhood Medical Plz, Winston Salem, NC 27106 | 2017-01-23 |
1013328632 | Bradley Taylor | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2014-05-16 |
1023338241 | Bradley Michael Taylor | General Practice | 4755 Pasture Rd Bldg 299, Naval Branch Clinic Fallon, Fallon, NV 89496-0001 | 2010-06-10 |
Street Address |
2697 INTERNATIONAL PKWY STE 104-1 |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23452-7805 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
Find all providers in zip 23452 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891318937 | Paula Elkin | Counselor | 217 Coltan Ave Apt 101, Virginia Beach, VA 23462-4575 | 2020-05-23 |
1568084937 | Dayspring Wellness Pllc | Counselor | 1301 First Colonial Rd Ste 200, Virginia Beach, VA 23454-2263 | 2020-05-08 |
1528688652 | Luon M Fletcher | Counselor | 3629 Forrester Ln, Virginia Beach, VA 23452-3114 | 2020-04-18 |
1629606785 | Caroline Minto | Counselor | 509 Old Great Neck Rd Ste 203, Virginia Beach, VA 23454-3358 | 2020-04-01 |
1396381620 | Heather Louise Butler | Counselor | 258 N Witchduck Rd Ste 1b, Virginia Beach, VA 23462-6556 | 2019-11-21 |
1184268500 | D'nita Marie Spann | Counselor | 297 Independence Blvd Ste 423, Virginia Beach, VA 23462-2837 | 2019-10-29 |
1639731664 | Stephanie Bradley-blue | Counselor | 615 N Birdneck Rd, Virginia Beach, VA 23451-6368 | 2019-06-29 |
1558922468 | Turquoise Tamara Rawlings-perrin | Counselor | 6410 Duquesne Pl, Virginia Beach, VA 23464-4433 | 2019-06-23 |
1447819115 | Sheryl L. Losick-smith | Counselor | 2000 Basswood Ct, Virginia Beach, VA 23453-5927 | 2019-06-06 |
1225696370 | Helen Irene Runyan | Counselor | 1000 Regent University Dr # Drive225, Virginia Beach, VA 23464-5037 | 2019-06-04 |
Find all providers in VIRGINIA BEACH |
City | VIRGINIA BEACH |
Zip Code | 23452 |
Please comment or provide details below to improve the information on BRADLEY R TAYLOR SR..
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.