Bradley Alan Stovall, DO | |
11958 W Broad St, Henrico, VA 23233-1007 | |
(804) 360-4669 | |
(804) 364-6521 |
Full Name | Bradley Alan Stovall |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 13 Years |
Location | 11958 W Broad St, Henrico, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053607945 | NPI | - | NPPES |
559509 | Other | TX | TEXAS MEDICAL BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 0102204430 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henrico Doctors' Hospital | Richmond, VA | Hospital |
Bon Secours St Marys Hospital | Richmond, VA | Hospital |
Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
Cjw Medical Center | Richmond, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthovirginia Inc | 0547157224 | 491 |
Entity Name | Orthovirginia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
Mailing Address | Practice Location Address |
---|---|
Bradley Alan Stovall, DO 1115 Boulders Pkwy, Ste 200, North Chesterfield, VA 23225-4067 Ph: (804) 915-4607 | Bradley Alan Stovall, DO 11958 W Broad St, Henrico, VA 23233-1007 Ph: (804) 360-4669 |
Jessica Hupe, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11958 W Broad St, Henrico, VA 23233 Phone: 804-360-4669 Fax: 804-364-6557 | |
Michael Cole, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: Pmr: Pain Management, 11958 W Broad Street, 4th Floor, Henrico, VA 23233 Phone: 804-360-4669 Fax: 804-828-8300 | |
Trevor A Litwiler, PT, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 7858 Shrader Rd Fl 2, Henrico, VA 23294 Phone: 804-497-2583 |