Bradley S Malcolm, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101030923 Issued in VA

Practice address

105 Richeson Dr
Lynchburg, VA 24501-2911

Phone

(434) 385-7776

Fax

(434) 385-5846

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richeson Drive Pediatrics, Inc.

  • Pediatrics Physician
  • Lynchburg, VA
  • NPI 1073618278
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1194783878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RICHESON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012911",
            "telephone_number": "434-385-7776",
            "fax_number": "434-385-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RICHESON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012911",
            "telephone_number": "434-385-7776",
            "fax_number": "434-385-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "BRADLEY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101030923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006793011",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen Majewski, MD
• Steve Majlaton
• Gregory Major
• Thomas Scott Major III
• Pramote Malasitt, MD
• Colin Malcolm
• Vincent Maldonado
• Thomas Joseph Maliakal, M.D
• Lindsay Ann Malone, M.A., BCBA
• Stephannie Malone

• Pediatrics Physician in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.