Active NPI
Bradley Nathaniel Maller, MD
- Hematology & Oncology Physician
- Charlottesville, VA
National Provider Identifier
1205459054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 0116034551
- Practice address
- 500 Martha Jefferson Dr Ste 315a
Charlottesville, VA 22911-4668 - Phone
- (434) 654-8390
- Fax
- (434) 654-8399
- NPI assigned
- May 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 0116034551 | VA | Primary |
Addresses
Primary practice location
500 Martha Jefferson Dr Ste 315a
Charlottesville, VA 22911-4668
Mailing address
500 Martha Jefferson Dr Ste 315a
Charlottesville, VA 22911-4668
Phone (434) 654-8390
Other practice location 1
1001 E Leigh St Fl 4
Richmond, VA 23298-5004
Phone (804) 828-7999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200818000265 | VA | Order and Referring Only - Internal Medicine | 7810313103 |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of South Florida College of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
800 Independence Blvd
FL 5
Virginia Beach, VA 23455-6011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1205459054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MARTHA JEFFERSON DR STE 315A",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229114668",
"telephone_number": "434-654-8390",
"fax_number": "434-654-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MARTHA JEFFERSON DR STE 315A",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229114668",
"telephone_number": "434-654-8390",
"fax_number": "434-654-8399"
}
],
"practiceLocations": [
{
"address_1": "1001 E Leigh St Fl 4",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985004",
"country_code": "US",
"telephone_number": "804-828-7999",
"fax_number": "804-828-5941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLER",
"first_name": "BRADLEY",
"middle_name": "NATHANIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "VA",
"license": "0116034551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.