Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Jacob Fasulo, MD

Individual provider Pediatrics Physician · NPI 1558002014

Bradley Jacob Fasulo, MD is a Pediatric Medicine in Richmond, Virginia. Graduated from Virginia Commonwealth University, School of Medicine in 2022, 4 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
VA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1000 E Broad St
Richmond, VA 23219-1930
Phone: (804) 828-2467
Fax: (804) 828-5775
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1250 E Marshall St, Richmond, VA 23298-5023 — (804) 828-2467

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0101285209 (VA)

Record details

NPI number1558002014
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESJuly 5, 2026
Certification dateJuly 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Richmond