Individual provider · Type 1 NPI
Brad Rivera, PA-C
Medical Physician Assistant · Virginia Beach, VA
NPI number
1720506207
Active
Practice location
1090 Farrar St
Virginia Beach, VA 23451-5808
Mailing address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1720506207
Brad Rivera, PA-C's National Provider Identifier is 1720506207, issued on Sep 5, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Virginia Beach, VA. The record was last updated on Jul 21, 2022.