Sybil A Bradley-Dallas, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

0024082899 Issued in VA

Practice address

2138 Langhorne Square
Lynchburg, VA 24501

Phone

(434) 845-3178

Fax

(434) 846-8346

NPI assigned

Sep 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558465922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 PETERS CREEK ROAD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240171618",
            "fax_number": "540-562-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 LANGHORNE SQUARE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24501",
            "telephone_number": "434-845-3178",
            "fax_number": "434-846-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY-DALLAS",
        "first_name": "SYBIL",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024082899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010014786",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Lynn Boyd
• Tiffany Boydoh, LCSW
• Mary Boyette
• Briana Merritt Bracewell
• Macken'Z Smith Bradford, AU.D.,CCC-A
• Ivori Bradley
• Julia Michelle Bradner, CD(DONA), LCCE, CPM
• Debbie Ann Bradney, ATC
• Emily Louise Bradshaw, PH.D.
• Jane Elizabeth Bradshaw, RN, IBCLC, RLC

• Obstetrics & Gynecology Nurse Practitioner in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.