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KEVIN BRADLEY SOIDC
NPI 1306455522
Military Health Care Provider - Independent Duty Corpsman in Virginia Beach, VA

Active since July 23, 2020
903 13TH ST, VIRGINIA BEACH, VA 23451(910) 465-5610 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Bradley Soidc NPPES

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

KEVIN BRADLEY SOIDC (NPI 1306455522) is an individual independent duty corpsman provider in Virginia Beach, Virginia and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1306455522
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameKEVIN BRADLEYCredential: SOIDC
Location Address903 13TH STVirginia Beach, VA 23451-4476
Mailing Address903 13th StVirginia Beach, VA 23451-4476 · (910) 465-5610
Phone(910) 465-5610
Sole ProprietorYes
Enumeration DateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
✔ NPI 1306455522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
903 13TH ST, Virginia Beach, VA 23451
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Other Identifiers 1

Other1367445790Navy

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 Kevin Bradley's NPI number?

The NPI number for Kevin Bradley is 1306455522. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Kevin Bradley located?

Kevin Bradley practices at 903 13th St, Virginia Beach, VA 23451. The listed phone number is (910) 465-5610.

What is Kevin Bradley's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Kevin Bradley was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.