Dr. Bradley Dean Vandyke
Chiropractic Sports Physician
1779 Lovers Gap Road
Vansant
, Virginia 24656
Dr. Bradley Dean Vandyke
Chiropractic Sports Physician
1779 Lovers Gap Road
Vansant
, Virginia 24656
(276) 597-2154
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Bradley Dean Vandyke
- Po Box 855
- Vansant, VA
- Zip : 24656-0855
- Fax : (276) 597-2154
- Phone : (276) 597-8387
Second Address
- Dr. Bradley Dean Vandyke
- 1779 Lovers Gap Road
- Vansant, VA
- Zip : 24656
- Fax : (276) 597-2154
- Phone : (276) 597-8387
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 0104001184 | VA |
National Provider Identifier
| NPI | 1013981356 |
|---|---|
| Provider Name | Dr. Bradley Dean Vandyke |
| First Address | Vansant, VA 24656-0855 |
| Second Address | Vansant, VA 24656 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2006 |
| Last Update Date | 28/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7600037000 | (05) | WV |
| U42499 | (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.