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BRAD RIVERA PA-C
NPI 1720506207
Physician Assistant - Medical in Virginia Beach, VA

Active since September 05, 2017
1090 FARRAR ST, VIRGINIA BEACH, VA 23451(360) 689-4878 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brad Rivera Pa-c NPPES

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

BRAD RIVERA PA-C (NPI 1720506207) is an individual medical provider in Virginia Beach, Virginia and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1720506207
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRAD RIVERACredential: PA-C
Location Address1090 FARRAR STVirginia Beach, VA 23451-5808
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111 · (757) 953-8351
Phone(360) 689-4878
Sole ProprietorNo
Enumeration DateSeptember 5, 2017
Last NPPES UpdateJuly 21, 2022
✔ NPI 1720506207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1090 FARRAR ST, Virginia Beach, VA 23451
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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 Brad Rivera's NPI number?

The NPI number for Brad Rivera is 1720506207. It was assigned to this individual provider in the NPPES registry on September 5, 2017.

Where is Brad Rivera located?

Brad Rivera practices at 1090 Farrar St, Virginia Beach, VA 23451. The listed phone number is (360) 689-4878.

What is Brad Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Brad Rivera was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.