Dr Richard Benjamin Bradley Jr, DDS is a
Dentist - General Practice based in Halifax, Virginia. Dr Richard Benjamin Bradley Jr is licensed to practice in Virginia (license number 0401005683) and his current practice location is
187 South Main St, Halifax, Virginia. He can be reached at his office (for appointments etc.) via phone at
(434) 476-7885.
NPI number for Dr Richard Benjamin Bradley Jr is 1154546869 and his current mailing address is 187 South Main Street, Halifax, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154546869.
Healthcare Provider's Profile
| Full Name | Dr Richard Benjamin Bradley Jr |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
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| Location | 187 South Main St, Halifax, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154546869
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Richard Benjamin Bradley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154546869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 0401005683 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard Benjamin Bradley Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Richard Benjamin Bradley Jr, DDS
187 South Main Street,
Halifax, VA 24558
Ph: (434) 476-7885 | Dr Richard Benjamin Bradley Jr, DDS
187 South Main St,
Halifax, VA 24558
Ph: (434) 476-7885 |
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