Individual provider · Type 1 NPI

Bradley Jacob Fasulo, MD

Pediatrics Physician · Richmond, VA

NPI number 1558002014 Active

Practice location

1000 E Broad St
Richmond, VA 23219-1930

Call (804) 828-2467 Map

Fax (804) 828-5775

Mailing address

PO Box 980257
Richmond, VA 23298-0257

Other practice locations

  • 1250 E Marshall St, Richmond, VA 23298-5023 · (804) 828-2467

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X0101285209 (VA)

Pediatrics Physician: 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 de…

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About NPI 1558002014

Bradley Jacob Fasulo, MD's National Provider Identifier is 1558002014, issued on Apr 6, 2022. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Richmond, VA. The record was last updated on Jul 5, 2026.