DR. BRADY BRADSHAW (NPI# 1649405879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649405879 |
| Entity Type | Individual |
| Full Name | DR. BRADY BRADSHAW |
| Credential | MD |
| Practice Address |
1340 Blairs Ferry Rd Hiawatha IA 52233-1900 |
| Practice Telephone | 3193986575 |
| Mailing Telephone | 3193986575 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2014-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD-41765 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1340 BLAIRS FERRY RD |
| City | HIAWATHA |
| State | IA |
| Zip Code | 52233-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093963167 | Ann Bowlsby Alliger | Counselor | 1340 Blairs Ferry Rd, Hiawatha, IA 52233-1900 | 2008-09-03 |
| 1902446305 | Mallory Rose Markwitz | Social Worker | 1340 Blairs Ferry Rd, Hiawatha, IA 52233-1900 | 2020-01-14 |
| 1033683818 | Jenna Kathleen Ladd | Counselor | 1340 Blairs Ferry Rd, Hiawatha, IA 52233-1900 | 2019-01-15 |
| 1790224459 | Michelle Lynn Meyers | Social Worker | 1340 Blairs Ferry Rd, Hiawatha, IA 52233-1900 | 2017-02-14 |
| 1154878064 | Elizabeth Ann Dunnigan | Social Worker | 1340 Blairs Ferry Rd, Suite A, Hiawatha, IA 52233-1900 | 2016-09-08 |
| 1992184865 | Aubrey Brooke Hepker | Counselor | 1340 Blairs Ferry Rd, Hiawatha, IA 52233-1900 | 2015-05-26 |
| 1558621797 | Scott Jason Eilers | Psychologist | 1340 Blairs Ferry Rd, Hiawatha, IA 52233-1900 | 2012-05-22 |
| 1053606251 | Gretchen P Thompson | Social Worker | 1340 Blairs Ferry Rd, Unit A, Hiawatha, IA 52233-1900 | 2011-06-15 |
| 1407189996 | Ellen Claire Daly | Counselor | 1340 Blairs Ferry Rd, Unit A, Hiawatha, IA 52233-1900 | 2009-09-15 |
| 1164665006 | Cynthia Hemesath | Social Worker | 1340 Blairs Ferry Rd, Hiawatha, IA 52233-1900 | 2009-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336707249 | Jenna Haganman | Dentist | 1090 Sherman Rd, Hiawatha, IA 52233 | 2019-06-05 |
| 1548771629 | Alicia Means | Counselor | 1811 Boyson Rd Ste A, Hiawatha, IA 52233 | 2017-10-17 |
| 1740732270 | Pamela Jean Severson | Counselor | 1350 Boyson Rd Ste D2, Hiawatha, IA 52233 | 2016-11-01 |
| 1902174006 | Excel Chiropractic and Rehab PC | Chiropractor | 1625 Boyson Rd., Suite 104, Hiawatha, IA 52233 | 2011-12-05 |
| 1992099055 | Ross Robert Hausmann | Chiropractor | 1625 Boyson Rd Ste 104, Hiawatha, IA 52233 | 2011-06-07 |
| 1669605937 | Wickwire Chiropractic and Wellness Center P.C. | Chiropractor | 1690 Blairs Ferry Rd, Hiawatha, IA 52233 | 2009-09-02 |
| 1861622292 | Lee Adam Wickwire | Chiropractor | 1690 Blairs Ferry Road, Hiawatha, IA 52233 | 2009-07-20 |
| 1619127388 | Kara Charlotte Gillund | Physical Therapist | 400 Blairsferry Crossing, Hiawatha, IA 52233 | 2008-09-30 |
| 1316105265 | Stephen Edwin Broad | Dentist | 1055 North Center Point Road, Hiawatha, IA 52233 | 2008-05-28 |
| 1699820597 | City of Hiawatha | Ambulance | 60 10th Avenue, Hiawatha, IA 52233 | 2007-01-24 |
| Find all providers in zip 52233 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740623784 | Renuka Velisetty | Psychiatry & Neurology | 411 Laurel St Ste 3310, Des Moines, IA 50314-3027 | 2013-04-09 |
| 1053627182 | Neuropsychiatric Medicine Clinic Pllc | Psychiatry & Neurology | 511 S 3rd St, Clinton, IA 52732-4357 | 2010-08-26 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1104032002 | Kathryn Anne Kvederis | Psychiatry & Neurology | 3105 Druid Hill Dr, Des Moines, IA 50315-2122 | 2007-05-15 |
| 1922182849 | Harry William Fischer | Psychiatry & Neurology | 17752 Chariot Rd, Elkader, IA 52043-8136 | 2006-10-25 |
| 1750329314 | Child Psychiatry Associates PC | Psychiatry & Neurology | 939 Office Park Rd, Ste 200, West Des Moines, IA 50265-2505 | 2006-06-03 |
| 1336116953 | Suzanne Brown Henry | Psychiatry & Neurology | 2593 Holiday Rd, Coralville, IA 52241 | 2006-03-02 |
| 1982675559 | Ivan Delgado-ramos | Psychiatry & Neurology | 1500 E 10th St, Atlantic, IA 50022-1935 | 2006-01-31 |
| 1477045797 | Chantal Julitta Rozmus | Psychiatry & Neurology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2018-06-01 |
| 1073870226 | Teresa Marie Dolphin-shaw | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2012-04-12 |
| Find all providers with the same taxonomy | ||||
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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.