Bradley Bowker Manning, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

0101241640 Issued in VA

Practice address

887B Rio East CT
Charlottesville, VA 22901-8004

Phone

(434) 220-4686

Fax

(434) 220-4687

NPI assigned

May 4, 2007

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 names 1

• Brad Bowker Manning Other name

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

Doctor of Medicine

Practice roles

Locations

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.

• Blue Ridge Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Amherst, VA
  • NPI 1326566993
  NPD
• Blue Ridge Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Appomattox, VA
  • NPI 1477163475
  NPD
• Blue Ridge Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Arrington, VA
  • NPI 1518945187
  NPD
• Childhelp, Inc.

  • Psychiatric Residential Treatment Facility
  • Lignum, VA
  • NPI 1083702229
  NPD (past)
• Poehailos Dupont & Assoc

  • Clinical Social Worker
  • Charlottesville, VA
  • NPI 1336244201

  Child & Adolescent Psychiatry

  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1619189404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887B RIO EAST CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018004",
            "telephone_number": "434-220-4686",
            "fax_number": "434-220-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887B RIO EAST CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018004",
            "telephone_number": "434-220-4686",
            "fax_number": "434-220-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "BRADLEY",
        "middle_name": "BOWKER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101241640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRAD",
            "last_name": "MANNING",
            "middle_name": "BOWKER",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayla Mann
• Mary Elizabeth Mann, CCC/SLP-L
• Simran Kaur Mann, M.D.
• Hannah C. Mannem, M.D.
• Lisa Rene Manners
• Carol A. Manning, PH.D.
• Donald C. Manning, M.D., PH.D
• Sara Manning, MD
• William John Manning, LCSW
• Kelly B. Manor, P.A.

• Child & Adolescent Psychiatry Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Child & Adolescent Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.