BRADLEY BOWKER MANNING (NPI# 1619189404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619189404 |
| Entity Type | Individual |
| Full Name | BRADLEY BOWKER MANNING |
| Other Name | BRAD BOWKER MANNING |
| Credential | MD |
| Practice Address |
887b Rio East Ct Charlottesville VA 22901-8004 |
| Practice Telephone | 4342204686 |
| Practice Fax Number | 4342204687 |
| Mailing Telephone | 4342204686 |
| Mailing Fax Number | 4342204687 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101241640 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801091889 | Bradley A Manning | Psychologist | 595 E Colorado Blvd Ste 635, Pasadena, CA 91101-2032 | 2007-06-19 |
| 1669695490 | Bradley Manning | Psychologist | 520 Kelly Ave #4, Half Moon Bay, CA 94019 | 2007-04-10 |
| 1881642049 | Bradley L. Manning IIi | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242 | 2006-05-04 |
| 1912962523 | Bradley L Manning | Plastic Surgery | 1 S Park St, Madison, WI 53715 | 2006-04-18 |
| Street Address |
887B RIO EAST CT |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-8004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396894655 | Philip Dickson Dupont | Psychologist | 887b Rio East Ct, Charlottesville, VA 22901-8004 | 2007-01-09 |
| 1457821134 | Abby Albright Bode | Psychologist | 887b Rio East Ct, Charlottesville, VA 22901-8004 | 2018-11-26 |
| 1710371588 | Jonathan R Mills | Nurse Practitioner | 887b Rio East Ct, Charlottesville, VA 22901-8004 | 2015-03-19 |
| 1760812994 | Priscilla Khuanghlawn | Psychologist | 887b Rio East Ct, Charlottesville, VA 22901-8004 | 2013-11-25 |
| 1346525169 | Lauri Wrenn Carlson | Psychologist | 887b Rio East Ct, Charlottesville, VA 22901-8004 | 2011-10-12 |
| 1487933008 | Jennifer Clare Sturek | Psychologist | 887b Rio East Ct, Charlottesville, VA 22901-8004 | 2011-08-13 |
| 1881827012 | Lisa Beth Duval | Psychologist | 887b Rio East Ct, Charlottesville, VA 22901-8004 | 2009-09-04 |
| 1144367889 | Emily Fergus Morrison | Psychologist | 887b Rio East Ct, Charlottesville, VA 22901-8004 | 2007-01-31 |
| 1659424315 | Anthony Walter Poehailos | Psychiatry & Neurology | 887b Rio East Ct, Charlottesville, VA 22901-8004 | 2007-01-18 |
| 1568513372 | Anna Hofer Vanhoy | Social Worker | 887b Rio East Ct, Charlottesville, VA 22901-8004 | 2007-01-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821364043 | Michael Kubelik Heck | Psychiatry & Neurology | 691 Berkmar Cir, Charlottesville, VA 22901-1464 | 2012-04-02 |
| 1407380926 | Treehouse Child Psychiatry, Plc | Psychiatry & Neurology | 691 Berkmar Cir, Charlottesville, VA 22901-1464 | 2017-04-12 |
| 1689069858 | Devender Kumar | Psychiatry & Neurology | 1215 Lee St, Charlottesville, VA 22908-1329 | 2015-04-03 |
| 1790855484 | Preska M. Moore | Psychiatry & Neurology | 310 Old Ivy Way, Suite 104, Charlottesville, VA 22903-4896 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902248073 | Tanvir Iqbal | Psychiatry & Neurology | 201 S Main St Ste 3400, Danville, VA 24541-2932 | 2013-07-18 |
| 1831403864 | Neel Nene | Psychiatry & Neurology | 801 N Quincy St Ste 601, Arlington, VA 22203-1729 | 2010-08-02 |
| 1295048684 | My Psychiatrist, Plc | Psychiatry & Neurology | 12359 Sunrise Valley Dr Ste 320, Herndon, VA 20191-3463 | 2010-07-14 |
| 1023257979 | Kevin Michael Williams | Psychiatry & Neurology | 3737 Seminary Rd, Alexandria, VA 22304-5202 | 2009-02-17 |
| 1881854982 | John Paul Steg | Psychiatry & Neurology | 6760 Old Mclean Village Dr, Mc Lean, VA 22101-3906 | 2008-06-11 |
| 1336343516 | Nelson Lugo | Psychiatry & Neurology | 43330 Junction Plz Ste 160, Pmb 108, Ashburn, VA 20147-3408 | 2007-06-12 |
| 1598973471 | Charles E Hall Iv | Psychiatry & Neurology | 100 Boulders Pkwy, Suite 202, Richmond, VA 23225 | 2007-05-21 |
| 1699983692 | Heather Kilbride Henig | Psychiatry & Neurology | 11490 Commerce Park Dr Ste 420, Reston, VA 20191 | 2007-05-21 |
| 1104942754 | William Louis Licamele | Psychiatry & Neurology | 6760 Old Mclean Village Dr., Mclean, VA 22101-3906 | 2007-03-22 |
| 1134252380 | Susan Perlmutter | Psychiatry & Neurology | 106 Elden St Ste 17, Herndon, VA 20170-4840 | 2007-03-14 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
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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.