Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 0101046270 | VA |
Y | 207RI0011X | Interventional Cardiology | 0101046270 | VA |
NPI | 1104847623 |
---|---|
Provider Name | Dr. Bradford James Matthews |
First Address | Richmond, VA 23229-5108 |
Second Address | Richmond, VA 23235-1965 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 30/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103785 | ANTHEM/VA HEALTHKEEPERS (01) | VA |
128173 | SOUTHERN HEALTH SERVICES (01) | VA |
1450771 | CIGNA (01) | VA |
178957 | ANTHEM/VA HEALTHKEEPERS (01) | VA |
27413300 | FEDERAL BLACK LUNG (01) | VA |
276203 | ANTHEM/VA HEALTHKEEPERS (01) | VA |
276252 | ANTHEM/VA HEALTHKEEPERS (01) | VA |
276275 | ANTHEM/VA HEALTHKEEPERS (01) | VA |
276300 | ANTHEM/VA HEALTHKEEPERS (01) | VA |
276358 | ANTHEM/VA HEALTHKEEPERS (01) | VA |
440261 | ANTHEM/VA HEALTHKEEPERS (01) | VA |
4469323 | AETNA/US HEALTHCARE (01) | VA |
47546 | SENTARA HEALTH/OPTIMA (01) | VA |
5851971 | (05) | VA |
595137 | AETNA/US HEALTHCARE HMO (01) | VA |
60061531 | RAILROAD MEDICARE (01) | VA |
939829 | MAMSI (01) | VA |
F67362 | (02) | VA |