Bradley T Butkovich
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
6160 Kempsville Cir Suite 200b
Norfolk
, Virginia 23502-3933
Bradley T Butkovich
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
6160 Kempsville Cir Suite 200b
Norfolk
, Virginia 23502-3933
(757) 321-3332
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Bradley T Butkovich
- 230 Clearfield Ave Suite 124
- Virginia Beach, VA
- Zip : 23462-1832
- Fax : (757) 321-3332
- Phone : (757) 321-3383
Second Address
- Bradley T Butkovich
- 6160 Kempsville Cir Suite 200b
- Norfolk, VA
- Zip : 23502-3933
- Fax : (757) 321-3332
- Phone : (757) 321-3383
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 0101237415 | VA |
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 0101237415 | VA |
National Provider Identifier
| NPI | 1154372712 |
|---|---|
| Provider Name | Bradley T Butkovich |
| First Address | Virginia Beach, VA 23462-1832 |
| Second Address | Norfolk, VA 23502-3933 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2006 |
| Last Update Date | 08/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1154372712 | (05) | VA |
| C05501 | MEDICARE GROUP PIN (01) | VA |
| I31942 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.