SearchVirginia152W00000X

Brady Pederson

NPI 1841667763 · on the registry since 2015

Practice

Address
10101 Brook Rd
Suite 852a
Glen Allen, VA 23059
Phone
(804) 266-9511
Fax
(804) 266-3871
Organisation at this address
Usv Optical Inc.
Blue Ridge Hearing Inc
Happy Smiles, Vcc, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia