Ms Randi Dawn Bradley, BS, LCMT, CRM, MMP is a
Rehabilitation Practitioner based in Virginia Beach, Virginia. Ms Randi Dawn Bradley is licensed to practice in Virginia (license number 0019011982) and her current practice location is
1213 Laskin Rd, Virginia Beach, Virginia. She can be reached at her office (for appointments etc.) via phone at
(757) 621-9615.
NPI number for Ms Randi Dawn Bradley is 1639644511 and her current mailing address is 426 Rennie Ct, Virginia Beach, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639644511.
Healthcare Provider's Profile
Full Name | Ms Randi Dawn Bradley |
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Gender | Female |
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Speciality | Rehabilitation Practitioner |
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Location | 1213 Laskin Rd, Virginia Beach, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639644511
- Provider Enumeration Date: 10/08/2018
- Last Update Date: 09/23/2019
Medical Identifiers
Medical identifiers for Ms Randi Dawn Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639644511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 0019011982 (Virginia) | Secondary |
225400000X | Rehabilitation Practitioner | 0019011982 (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. Ms Randi Dawn Bradley 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 |
Ms Randi Dawn Bradley, BS, LCMT, CRM, MMP 426 Rennie Ct, Virginia Beach, VA 23454-3946 Ph: (757) 621-9615 | Ms Randi Dawn Bradley, BS, LCMT, CRM, MMP 1213 Laskin Rd, Virginia Beach, VA 23451-5260 Ph: (757) 621-9615 |
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