Provider Demographics
NPI:1124098074
Name:MCBRIDE, JEFFREY PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:PATRICK
Last Name:MCBRIDE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5252 PLEASANT HALL CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-2648
Mailing Address - Country:US
Mailing Address - Phone:757-497-7215
Mailing Address - Fax:757-497-3130
Practice Address - Street 1:620 JOHN PAUL JONES CIR
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:757-953-7550
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01012266160207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy