Provider Demographics
NPI:1194904474
Name:CAROFINO, BRADLEY COX (MD)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:COX
Last Name:CAROFINO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:230 CLEARFIELD AVE
Mailing Address - Street 2:SUITE 124
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1832
Mailing Address - Country:US
Mailing Address - Phone:757-321-3383
Mailing Address - Fax:757-321-3332
Practice Address - Street 1:733 VOLVO PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-1609
Practice Address - Country:US
Practice Address - Phone:757-321-3300
Practice Address - Fax:757-321-3337
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2018-03-27
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Provider Licenses
StateLicense IDTaxonomies
VA0101251843207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVV6249AMedicare PIN