Mr. Bradley Kevin Gore
M.D. | Pediatrics | Male
Mr. Bradley Kevin Gore, M.D. is a Manassas, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mr. Bradley Kevin Gore is
9430 Forestwood Lane, Suite 100, Manassas, Virginia - 20110. He can be contacted on phone at
703-365-0227 and fax number 703-365-0332.
Mr. Bradley Kevin Gore is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Bradley Kevin Gore is
1265491526 which was assigned by NPPES on 23 Mar, 2006 and it was last updated on 14 Dec, 2009.
Mr. Bradley Kevin Gore license number is
26427 for Pediatrics (208000000X) in Kentucky.
Mr. Bradley Kevin Gore is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. Bradley Kevin Gore basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mr. Bradley Kevin Gore |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Mr. Bradley Kevin Gore address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9430 Forestwood Lane, Suite 100
Manassas, VA, 20110
United States |
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| Phone Number : | 703-365-0227 |
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| Fax Number : | 703-365-0332 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1265491526 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Mar, 2006 |
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| Last Updated On : | 14 Dec, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Bradley Kevin Gore are as mentioned. Primary taxonomy code for Mr. Bradley Kevin Gore, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 0101246204 | VA |
| 208000000X | Pediatrics | Yes | 26427 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Bradley Kevin Gore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1265491526 | MEDICAID | VA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9430 Forestwood Lane, Suite 100
Manassas, VA, 20110
United States |
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| Phone Number : | 703-365-0227 |
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| Fax Number : | 703-365-0332 |
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Business Location:
Patients can refer following map for directions to
Mr. Bradley Kevin Gore practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.