Ben P Bradenham, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

0101029475 Issued in VA

Practice address

7611 Forest Ave
Ste 410
Richmond, VA 23229-4946

Phone

(804) 285-2965

Fax

(804) 282-0616

NPI assigned

Sep 27, 2005

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

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1275529968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 STAPLES MILL RD",
            "address_2": "STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302918",
            "telephone_number": "804-285-4465",
            "fax_number": "804-285-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 FOREST AVE",
            "address_2": "STE 410",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294946",
            "telephone_number": "804-285-2965",
            "fax_number": "804-282-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADENHAM",
        "first_name": "BEN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101029475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006011420",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Lynn Bozied, PT
• Sarah Stites Brabrand, NP
• Claudia Bracey, LPC
• James McLeod Bracey, PA-C
• Emily Sarah Bracy, MASSAGE THERAPIST
• Ben Persons Bradenham Jr., M.D.
• Timothy Bradford, MD
• Afton Bradley, FNP-BC
• John Jackson Bradley, DO
• Johnny Ray Bradley Jr.

• Gastroenterology Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.