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BRADLEY FREE CLINIC
NPI 1902157712
Clinic/Center - Primary Care in Roanoke, VA

Active since September 20, 2012CLIA 49D0859648 · Microscopy
1240 3RD ST SW, ROANOKE, VA 24016(540) 344-5156(540) 777-0726 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bradley Free Clinic NPPES

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

BRADLEY FREE CLINIC (NPI 1902157712) is a healthcare organization registered as a primary care in Roanoke, Virginia and active in the NPI registry since September 2012. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists James Black, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1902157712
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBRADLEY FREE CLINIC OF ROANOKE VALLEY
Location Address1240 3RD ST SWRoanoke, VA 24016-4612
Mailing Address1240 3rd St SwRoanoke, VA 24016-4612 · (540) 344-5156 · Fax (540) 777-0726
Phone(540) 344-5156
Fax(540) 777-0726
Organization SubpartNo
Authorized OfficialJames BlackPharmacist In Charge · (540) 344-5156
Enumeration DateSeptember 20, 2012
Last NPPES UpdateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
✔ NPI 1902157712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedPharmacyTaxonomy 333600000X · License 0201002648 (VA)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1240 3RD ST SW, Roanoke, VA 24016
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Other Names 1

Doing Business AsBradley Free Clinic

Other Identifiers 1

Other2164384Pk

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D0859648

Bradley Free Clinic Of Roanoke Valley · Roanoke, VA
Active · expires Aug 31, 2026
CLIA Number49D0859648
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKenneth L. Hallman
Laboratory Phone(703) 344-5156
Laboratory LocationBradley Free Clinic Of Roanoke Valley1240 3rd Street SW, Roanoke, VA 24016
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

DR. DORIS AMO-MENSAH PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1240 3RD ST SW
ROANOKE, VA 24016
Roanoke City (301) 642-7408
JENNIFER B CHEN M.D.
Internal Medicine
1240 3RD ST SW, BRADLEY FREE CLINIC
ROANOKE, VA 24016
Roanoke City (540) 344-5156
DR. BARBARA CAROL MOORE M.D.
Obstetrics & Gynecology (Gynecology)
1240 3RD ST SW
ROANOKE, VA 24016
Roanoke City (540) 344-5156
MRS. DANIELLE NAOMI KING RDH
Dental Hygienist
1240 3RD ST SW
ROANOKE, VA 24016
Roanoke City (540) 344-5156
JESSICA BONEA ELIACIN MA
Counselor (Professional)
1240 3RD ST SW
ROANOKE, VA 24016
Roanoke City (540) 344-5156

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 Bradley Free Clinic Of Roanoke Valley's NPI number?

The NPI number for Bradley Free Clinic Of Roanoke Valley is 1902157712. It was assigned to this organization in the NPPES registry on September 20, 2012. The provider is doing business as Bradley Free Clinic.

Where is Bradley Free Clinic Of Roanoke Valley located?

Bradley Free Clinic Of Roanoke Valley is located at 1240 3rd St SW, Roanoke, VA 24016. The listed phone number is (540) 344-5156.

What is Bradley Free Clinic Of Roanoke Valley's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Bradley Free Clinic Of Roanoke Valley hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0859648) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bradley Free Clinic Of Roanoke Valley was last updated on February 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.