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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073216305

Evan Derek Bradner, MD is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1215 Lee St # 800710
Charlottesville, VA 22908-0816
Phone: (434) 982-0629
Fax: (434) 982-0019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1073216305
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2023
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023
Mailing address1215 Lee St # 800710, Charlottesville, VA 22908-0816

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