Provider Demographics
NPI:1104847623
Name:MATTHEWS, BRADFORD JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:BRADFORD
Middle Name:JAMES
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 FRANKLIN FARMS DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5108
Mailing Address - Country:US
Mailing Address - Phone:804-521-5800
Mailing Address - Fax:804-545-4340
Practice Address - Street 1:8700 STONY POINT PKWY STE 120
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1965
Practice Address - Country:US
Practice Address - Phone:804-323-5011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101046270207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA440261OtherANTHEM/VA HEALTHKEEPERS
VA47546OtherSENTARA HEALTH/OPTIMA
VA5851971Medicaid
VA60061531OtherRAILROAD MEDICARE
VA939829OtherMAMSI
VA595137OtherAETNA/US HEALTHCARE HMO
VA27413300OtherFEDERAL BLACK LUNG
VA276358OtherANTHEM/VA HEALTHKEEPERS
VA128173OtherSOUTHERN HEALTH SERVICES
VA276252OtherANTHEM/VA HEALTHKEEPERS
VA276275OtherANTHEM/VA HEALTHKEEPERS
VA1450771OtherCIGNA
VA276300OtherANTHEM/VA HEALTHKEEPERS
VA276203OtherANTHEM/VA HEALTHKEEPERS
VA4469323OtherAETNA/US HEALTHCARE
VA103785OtherANTHEM/VA HEALTHKEEPERS
VA178957OtherANTHEM/VA HEALTHKEEPERS
VA595137OtherAETNA/US HEALTHCARE HMO
060001032Medicare PIN