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

Kevin Bradley, SOIDC

Individual provider Independent Duty Corpsman · NPI 1306455522

Kevin Bradley, SOIDC is an Independent Duty Corpsman in Virginia Beach, Virginia. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

903 13th St
Virginia Beach, VA 23451-4476
Phone: (910) 465-5610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1306455522
Entity typeIndividual (Type 1)
GenderMale
Credentials SOIDC
Sole proprietorYes
NPI enumeratedJuly 23, 2020
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020
Mailing address903 13th St, Virginia Beach, VA 23451-4476

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