DR. CHARLES MARSHALL BRADSHAW (NPI# 1104866714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104866714 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MARSHALL BRADSHAW |
| Credential | M.D., P.A. |
| Practice Address |
1521 Cooper St Fort Worth TX 76104-2711 |
| Mailing Address |
601 Omega Dr Suite 206 Arlington TX 76014-2075 |
| Practice Telephone | 8173365864 |
| Practice Fax Number | 8173362159 |
| Mailing Telephone | 8174655881 |
| Mailing Fax Number | 8174656336 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | D2367 | TX | Other Service Providers |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
D2367 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123321 | Charles Bradshaw | Physical Therapist | 118 Johnson Ave, Celina, OH 45822-1219 | 2017-06-08 |
| 1427595792 | Charles Everett Bradshaw | Pharmacist | 455 W Montana St, Pasadena, CA 91103-1327 | 2017-01-25 |
| 1043477672 | Charles Jeremy Bradshaw | Physician Assistant | 1849 Old Donation Pkwy, Virginia Beach, VA 23454-3004 | 2008-05-21 |
| 1538361456 | Charles Pedigo Bradshaw | Dentist | 220 Conway St, Suite 2, Frankfort, KY 40601-2748 | 2007-06-04 |
| 1780632851 | Charles B Bradshaw | Clinical Neuropsychologist | 750 E Adams St, Department of Neurology, Syracuse, NY 13210-2306 | 2006-05-04 |
| Street Address |
1521 COOPER ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881688331 | Kerim F Razack | Internal Medicine | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2005-09-09 |
| 1134599863 | Kailee Marie Hughes | Nurse Practitioner | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2015-10-07 |
| 1104220029 | Madeline Mccluer Dickerson | Nurse Practitioner | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2014-10-21 |
| 1134528169 | Donald Edward Watenpaugh | Sleep Specialist, PhD | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2014-08-14 |
| 1265862197 | Margaret Adelia Davis | Nurse Practitioner | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2013-11-13 |
| 1629407077 | May Ha Goetsch | Nurse Practitioner | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2013-11-06 |
| 1487942280 | Carina Manalo | Nurse Practitioner | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2011-07-13 |
| 1275853327 | Vikas Goyal | Internal Medicine | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2010-06-10 |
| 1598082679 | Amy Michelle Bird | Nurse Practitioner | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2010-04-28 |
| 1649594268 | Steven Kim | Internal Medicine | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2010-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962792598 | Oyeyemi Fabuyi M.d., P.a. | Internal Medicine | 508 S Adams St Ste 200, Fort Worth, TX 76104-2151 | 2011-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780277 | Sleepcare Consultants, Pa | Internal Medicine | 7940 Floyd Curl Dr Ste 260, San Antonio, TX 78229-3930 | 2020-01-30 |
| 1902397516 | Paresh Patel Md Pa | Internal Medicine | 13325 Hargrave Rd Ste 265, Houston, TX 77070-4539 | 2018-05-21 |
| 1548751035 | Southern Institute of Sleep Medicine Pllc | Internal Medicine | 1611 N Belt Line Rd Ste C, Mesquite, TX 75149-1792 | 2018-05-21 |
| 1245626050 | Sleep Medicine Associates of Texas, Pa | Internal Medicine | 400 Maplelawn Dr Ste 105, Plano, TX 75075-5744 | 2015-04-08 |
| 1356775274 | Saba Sleep Services LLC | Internal Medicine | 2723 S Glen Haven Blvd, Houston, TX 77025-2123 | 2013-08-27 |
| 1255672143 | M2billing Services | Internal Medicine | 4319 Mt Davis Way, Katy, TX 77449-4530 | 2013-03-03 |
| 1659503654 | Hays Pulmonary & Sleep Associates, Pllc | Internal Medicine | 5103 Kyle Center, Suite 104, Kyle, TX 78640 | 2009-08-10 |
| 1710126602 | Skv Sleep Systems LLC | Internal Medicine | 10601 Pecan Park Blvd Ste 203, Austin, TX 78750-1325 | 2009-02-17 |
| 1265679641 | Williamson Pulmonary & Sleep Associates, P.l.l.c. | Internal Medicine | 800 W Central Texas Expy Ste 295, Harker Heights, TX 76548-1991 | 2009-01-07 |
| 1508025412 | Irvin Co Tantuco | Internal Medicine | 1213 Hermann Dr Ste 570, Houston, TX 77004-7025 | 2008-06-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.