Individual provider · NPI-1

Dr. Joan D Bradley, MD

Family Medicine · Vienna, VA

NPI number1831183128
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1831183128
Entity type
Individual (NPI-1)
Name
Dr. Joan D Bradley
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2005
Certification date
Oct 15, 2020
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0101054346VAYes

Other names

  • Joan T Doerflinger (Other Name)

Practice location

115 Park St Se
Suite 300
Vienna, VA 22180-4653

Phone 703-255-9100 · Fax 703-255-3457

Mailing address

115 Park St Se
Suite 300
Vienna, VA 22180-4653

Phone 703-255-9100 · Fax 703-255-3457

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