OrganizationActive
Bradley Free Clinic of Roanoke Valley
NPI 1902157712 · Primary Care Clinic/Center · Roanoke, VA
Provider details
- NPI number
- 1902157712
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Black, Pharmacist in Charge(540) 344-5156
- License
- 0201002648 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Practice location
1240 3rd St Sw
Roanoke, VA 24016-4612
Phone: (540) 344-5156
Fax: (540) 777-0726
Approximate (ZIP-level) locationGet directions
Mailing address
1240 3rd St Sw
Roanoke, VA 24016-4612
Other names (DBA / former)
- Doing business as
- Bradley Free Clinic
- Doing business as
- Bradley Free Clinic
Registry dates
- Enumerated
- 2012-09-20
- Last updated
- 2021-02-03
- Certified
- 2021-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.