BRADLEY R TAYLOR SR.


Address: 2697 International Pkwy Ste 104-1, Virginia Beach, VA 23452-7805
Phone: 7574861143

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

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

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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

Office Location

Street Address 2697 INTERNATIONAL PKWY STE 104-1
City VIRGINIA BEACH
State VA
Zip Code 23452-7805

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NPI Name Taxonomy Address Enumeration
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1346884400 Asra R Javeed Dmd PC Dentist 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 2019-11-01
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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
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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
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City VIRGINIA BEACH
Zip Code 23452

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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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