DR. JENNIFER THERESE BRADFORD D.O.
NPI 1073868261
Pediatrics in Manassas, VA

Active since July 13, 2012
10623 CRESTWOOD DR, MANASSAS, VA 20109(703) 361-7131(703) 330-2065 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jennifer Therese Bradford D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER THERESE BRADFORD D.O. (NPI 1073868261) is an individual pediatrics provider in Manassas, Virginia, licensed in Virginia (0102203986) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1073868261
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JENNIFER THERESE BRADFORDCredential: D.O.
Location Address10623 CRESTWOOD DRManassas, VA 20109-3433
Mailing Address10366 Barrington Park CirManassas, VA 20110-6767
Fax(703) 330-2065
Sole ProprietorNo
Enumeration DateJuly 13, 2012
Last NPPES UpdateJanuary 27, 2016
NPI 1073868261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in VA · 0102203986 Licensed in TX · BP10042728
Definition
A pediatrician 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.
10623 CRESTWOOD DR, Manassas, VA 20109

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
10623 CRESTWOOD DR
MANASSAS, VA 20109
Pediatrics (Adolescent Medicine)
10623 CRESTWOOD DR
MANASSAS, VA 20109
Pediatrics
10623 CRESTWOOD DR
MANASSAS, VA 20109
Pediatrics
10623 CRESTWOOD DR
MANASSAS, VA 20109
Nurse Practitioner (Pediatrics)
10623 CRESTWOOD DR
MANASSAS, VA 20109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Bradford's NPI number?

The NPI number for Jennifer Bradford is 1073868261. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Jennifer Bradford located?

Jennifer Bradford practices at 10623 Crestwood Dr, Manassas, VA 20109. The listed phone number is (703) 361-7131.

What is Jennifer Bradford's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jennifer Bradford was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.