DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BRADLEY ALAN STOVALL DO

MEDICARE: BRADLEY ALAN STOVALL DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician0102204430VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1559509OTHERTXTEXAS MEDICAL BOARD

General Provider Information

NPI Number : 1053607945
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADLEY ALAN STOVALL DO
Provider Business Mailing Address
First Line : 1115 BOULDERS PKWY
Second Line : STE 200
City : NORTH CHESTERFIELD
State : VA
Zip : 23225-4067
Country : US
Telephone Number : 804-915-4607
Fax Number : 804-560-9029
Provider Business Practice Location Address
First Line : 11958 W BROAD ST
Second Line :
City : HENRICO
State : VA
Zip : 23233-1007
Country : US
Telephone Number : 804-360-4669
Fax Number : 804-364-6521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 07/09/2020

Similar Medicare Providers

1073716775 — KELLY G. GWATHMEY M.D.
Practice Location Address:
11958 W BROAD ST
HENRICO, VA
23233-1007
Practice Phone: 804-828-9350
Practice Fax: 804-827-1744
1982816757 — MATTHEW J. BARRETT M.D.
Practice Location Address:
11958 W BROAD ST
HENRICO, VA
23233-1007
Practice Phone: 804-828-9350
Practice Fax: 804-364-6521
1871755371 — DR. ANDREW WATSON CHAPMAN M.D.
Practice Location Address:
11958 W BROAD ST
HENRICO, VA
23233-1007
Practice Phone: 804-628-3230
Practice Fax: 804-828-2207
1851525729 — SEEMA KUMAR PATEL MD
Practice Location Address:
11958 W BROAD ST
HENRICO, VA
23233-1007
Practice Phone: 804-360-4669
Practice Fax: 804-364-6557
1396025516 — DR. LAUREN MARSTON CALDAS
Practice Location Address:
11900 W BROAD ST , KROGER PHARMACY
HENRICO, VA
23233-1007
Practice Phone: 804-360-3268
Practice Fax:
1467806687 — QIHUA FAN M.D.
Practice Location Address:
11958 W BROAD ST
HENRICO, VA
23233-1007
Practice Phone: 804-828-9350
Practice Fax: 804-364-6521

Directions to “ BRADLEY ALAN STOVALL DO” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.