MS. SALLY V BRADFORD CNS NPI 1053472506

NPI Information

  • NPI: 1053472506
  • Provider Name: MS. SALLY V BRADFORD, CNS
  • Classification: Clinical Nurse Specialist - 364SP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • Address: 5999 BURKE COMMONS RD
    KAISER PERMANENTE BURKE MEDICAL CENTER
    BURKE, VA
    ZIP 22015
  • Phone: (703) 249-7700

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NPI Details

MS. Sally V Bradford, CNS is a psychiatric/mental health and adult clinical nurse specialist in Burke, VA. MS. Sally V Bradford, CNS NPI is 1053472506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5999 BURKE COMMONS RD
KAISER PERMANENTE BURKE MEDICAL CENTER
BURKE, VA
ZIP 22015-880
Phone: (703) 249-7700

The enumeration date for this NPI number is 12/12/2006 and was last updated on 12/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0809XRegistered NursePsychiatric/Mental Health, Adult0001045345VIRGINIANo
2364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, Adult0015000196VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q26855MEDICARE UPIN
2015141K92MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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