Search › Virginia › 208100000X
Bradley Stovall, DO
NPI 1053607945 · on the registry since 2011
Practice
- Address
- 11958 W Broad St
Henrico, VA 23233 - Phone
- (804) 360-4669
- Fax
- (804) 364-6521
- Organisation at this address
- Vcu Health Ambulatory Surgery Center, Llc
Virginia Commonwealth University Health System Authority
Virginia Commonwealth University Health System AuthorityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Additional practice sites
- 1250 E Marshall St, Richmond, VA
- 7650 E Parham Rd Ste 100, Richmond, VA
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia