Bradley R Prestidge (NPI# 1134126220, PAC ID# 5890754766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1134126220 |
| PAC ID by PECOS | 5890754766 |
| Professional Enrollment ID | I20140304002162 |
| Full Name | Bradley R Prestidge |
| Organization Legal Name | BON SECOURS DEPAUL MEDICAL CENTER INC |
| Address |
7185 Harbour Towne Pkwy S Suite 108 Suffolk VA 23435-3796 |
| Phone Number | 7572782200 |
| Gender | M |
| Credential | MD |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 4082517982 |
| Number of Group Practice Members | 62 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490011 | BON SECOURS DEPAUL MEDICAL CENTER |
| 490017 | BON SECOURS MARYVIEW MEDICAL CENTER |
| 340109 | SENTARA ALBEMARLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 150 Kingsley Ln, Norfolk, VA 23505-4602 | BON SECOURS DEPAUL MEDICAL CENTER INC | |
| 155 Kingsley Ln, Suite 100, Norfolk, VA 23505-4630 | 7572782200 | BON SECOURS DEPAUL MEDICAL CENTER INC |
| 7185 Harbour Towne Pkwy S, Suite 108, Suffolk, VA 23435-3796 | 7572782200 | BON SECOURS DEPAUL MEDICAL CENTER INC |
| Organization Legal Name | BON SECOURS DEPAUL MEDICAL CENTER INC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kacie L Schappert | Physician Assistant | Bon Secours Depaul Medical Center Inc | 908 Eden Way N, Suite 101, Chesapeake, VA 23320-3336 |
| Amira Siddig Elhassan | Family Medicine | Bon Secours Depaul Medical Center Inc | 4421 Virginia Beach Blvd, Suite 114, Virginia Beach, VA 23462-3114 |
| Michele Anne Nedelka | Radiation Oncology | Bon Secours Depaul Medical Center Inc | 155 Kingsley Ln, Suite 100, Norfolk, VA 23505-4630 |
| Jainy John | Certified Registered Nurse Anesthetist (crna) | Bon Secours Depaul Medical Center Inc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Jason M Mchugh | Sports Medicine | Bon Secours Depaul Medical Center Inc | 930 W 21st St, Suite 100, Norfolk, VA 23517-1516 |
| Jennifer B Fortune | Physician Assistant | Bon Secours Depaul Medical Center Inc | 1253 Nimmo Pkwy, Suite 110, Virginia Beach, VA 23456-7782 |
| Gregory Adams | General Surgery | Bon Secours Depaul Medical Center Inc | 155 Kingsley Ln, Suite 405, Norfolk, VA 23505-4629 |
| Jennifer Therese Evans | Nurse Practitioner | Bon Secours Depaul Medical Center Inc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Pamela M Smith | Certified Registered Nurse Anesthetist (crna) | Bon Secours Depaul Medical Center Inc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Donna B Dowell | Nurse Practitioner | Bon Secours Depaul Medical Center Inc | 150 Kingsley Ln, Norfolk, VA 23505-4602 |
| Street Address |
7185 HARBOUR TOWNE PKWY S SUITE 108 |
| City | SUFFOLK |
| State | VA |
| Zip | 23435-3796 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akinwumni Ojo-carons | Urology | Urology of Virginia Pllc | 7185 Harbour Towne Pkwy S, Suite 200, Suffolk, VA 23435-3796 |
| Matthew C Gilbert | Nurse Practitioner | Urology of Virginia Pllc | 7185 Harbour Towne Pkwy S, Suite 200, Suffolk, VA 23435-3796 |
| Lindsay Nicole Manzlak | Nurse Practitioner | Maryview Hospital | 7185 Harbour Towne Pkwy S, Suite 105 1st Floor, Suffolk, VA 23435-3796 |
| Christopher Mccann | Gynecological Oncology | Maryview Hospital | 7185 Harbour Towne Pkwy S, Suffolk, VA 23435-3796 |
| Joshua P Langston | Urology | Urology of Virginia Pllc | 7185 Harbour Towne Pkwy S, Suite 200, Suffolk, VA 23435-3796 |
| Yolanda Brooks | Nurse Practitioner | Maryview Hospital | 7185 Harbour Towne Pkwy S, Suite 108, Suffolk, VA 23435-3796 |
| Michael Brandon Williams | Urology | Urology of Virginia Pllc | 7185 Harbour Towne Pkwy S, Suite 200, Suffolk, VA 23435-3796 |
| Miley W Walker | Urology | Urology of Virginia Pllc | 7185 Harbour Towne Pkwy S, Suite 200, Suffolk, VA 23435-3796 |
| Ilya J Sobol | Urology | Urology of Virginia Pllc | 7185 Harbour Towne Pkwy S, Suite 200, Suffolk, VA 23435-3796 |
| Kaitlynn Marie Vacchio | Physical Therapy | Urology of Virginia Pllc | 7185 Harbour Towne Pkwy S, Suite 200, Suffolk, VA 23435-3796 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth T Shearin | Chiropractic | Slone Chiropractic Clinic P.C. | 2469 Pruden Blvd, Suffolk, VA 23435 |
| Clarence George Clarke | Emergency Medicine | Quickcare Health Inc | 1013 University Blvd, Suite 270 280, Suffolk, VA 23435-0048 |
| Deanna Salyer | Physician Assistant | Quickcare Health Inc | 1013 University Blvd, Suite 270 280, Suffolk, VA 23435-0048 |
| Edward S Thur | Nurse Practitioner | Quickcare Health Inc | 1013 University Blvd, Suite 270 280, Suffolk, VA 23435-0048 |
| Laura Renee Pinkney | Nurse Practitioner | Sentara Medical Group | 3920 A Bridge Rd, Suite 207, Suffolk, VA 23435-1107 |
| Nicholas P Mancuso | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, A, Suffolk, VA 23435-1107 |
| Kristen Zach | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, A, Suffolk, VA 23435-1107 |
| Cassandra A Mccray | Nurse Practitioner | Sentara Medical Group | 3920 A Bridge Rd, Suite 207, Suffolk, VA 23435-1107 |
| Wendy Marie Curulla | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, A, Suffolk, VA 23435-1107 |
| Jonathan M Byrne | Emergency Medicine | Emergency Physicians of Tidewater | 3920 Bridge Rd, A, Suffolk, VA 23435-1107 |
| Find all physicians in zip 23435 | |||
| City | SUFFOLK |
| Zip Code | 23435 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | SUFFOLK + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Bradley R Prestidge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.