DR. JOHN DWIGHT BRADSHAW (NPI# 1154456952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154456952 |
| Entity Type | Individual |
| Full Name | DR. JOHN DWIGHT BRADSHAW |
| Credential | DDS |
| Practice Address |
5501 Bennetts Pasture Rd Ste D Suffolk VA 23435-1500 |
| Practice Telephone | 7574841444 |
| Practice Fax Number | 7574843712 |
| Mailing Telephone | 7574841444 |
| Mailing Fax Number | 7574843712 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
04985 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518021294 | John Franklyn Bradshaw | Marriage & Family Therapist | 215 S Bickett Blvd, Louisburg, NC 27549-2607 | 2006-12-20 |
| 1235142282 | John W Bradshaw | Dentist | 189 Corporate Dr Ste 30, Johnson City, TN 37604-2386 | 2006-08-14 |
| 1588650394 | John Martin Bradshaw | Physician Assistant | 112 Woodlawn Rd, Mount Holly, NC 28120-1775 | 2005-09-27 |
| 1962908244 | John Austin Bradshaw | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130 | 2018-04-04 |
| 1568807055 | John David Bradshaw | Anesthesiology | Medical Center Blvd, Winston Salem, NC 27157-8426 | 2013-05-09 |
| 1679734354 | John K Bradshaw | Radiology | 2925 Ryan Dr Se, Salem, OR 97301-9687 | 2008-06-24 |
| 1144395815 | John E Bradshaw | Psychologist | 100 S Ellsworth Ave, #802, San Mateo, CA 94401 | 2006-11-21 |
| 1316918527 | John R Bradshaw | Radiology | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2006-01-27 |
| 1124000518 | John Andrew Bradshaw | Pediatrics | 10 Graham Rd W, Ithaca, NY 14850-1055 | 2005-11-19 |
| Street Address |
5501 BENNETTS PASTURE RD STE D |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568614584 | J. Dwight Bradshaw Dds | Dentist | 5501 Bennetts Pasture Rd Ste D, Suffolk, VA 23435-1500 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942835822 | Amanda Vedros | Dentist | 1013 University Blvd, Suffolk, VA 23435-3900 | 2020-03-11 |
| 1801335989 | Anthony A. Elgohary, Dmd, Pllc | Dentist | 5131 River Club Dr, Suite 220, Suffolk, VA 23435-3661 | 2017-02-22 |
| 1073901161 | Dental Professionals of Virginia, P.C. | Dentist | 6255 College Dr, Suite E, Suffolk, VA 23435-2768 | 2014-12-26 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1053450544 | John Walter Burton IIi | Dentist | 108 Western Ave, Suffolk, VA 23434-4434 | 2007-02-05 |
| 1770637027 | Peggy M Chappell | Dentist | 2303 Pruden Blvd, Suffolk, VA 23434-4330 | 2007-01-23 |
| 1275614216 | Mauzard Benjamin | Dentist | 157 N Main St Ste A, Suffolk, VA 23434-4565 | 2006-10-18 |
| 1275633356 | Ralph L. Howell Jr. | Dentist | 102 Western Ave, Suffolk, VA 23434-4434 | 2006-09-25 |
| 1356455562 | Vernon Lee Rainey | Dentist | 426 West Washington St, Suffolk, VA 23434-5363 | 2006-08-18 |
| 1083626030 | Steve A Gwaltney | Dentist | 2486 Pruden Blvd, Suffolk, VA 23434-4206 | 2006-08-11 |
| Find all providers in SUFFOLK | ||||
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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.