MR. ROBERT WILLIAM BRADSHAW JR. (NPI# 1780880542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780880542 |
| Entity Type | Individual |
| Full Name | MR. ROBERT WILLIAM BRADSHAW JR. |
| Credential | LPC |
| Practice Address |
7331 Bruno Ave Saint Louis MO 63117-2409 |
| Practice Telephone | 3147817314 |
| Practice Fax Number | 3147817314 |
| Mailing Telephone | 3147817314 |
| Mailing Fax Number | 3147817314 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
002381 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679858393 | Robert Bradshaw | Pharmacist | 2350 Us 31 N, Traverse City, MI 49686-3756 | 2011-10-13 |
| 1538183603 | Robert Lynn Bradshaw | Chiropractor | 1255 E Southern Ave, Suite 3, Mesa, AZ 85204-5153 | 2006-07-26 |
| 1558335638 | Robert John Bradshaw | Pediatrics | 107 Piper Hill Dr, Suite 130, Saint Peters, MO 63376-1651 | 2006-02-15 |
| 1215563010 | Robert Ryan Bradshaw | Student in an Organized Health Care Education/Training Program | 145 Harrison Ave, Boston, MA 02111-1802 | 2020-03-13 |
| 1245365618 | Robert Waldo Bradshaw | Dentist | 4403 W Court St, Suite A, Pasco, WA 99301-2879 | 2007-02-23 |
| 1982741872 | Robert Dana Bradshaw | Family Medicine | 825 Fairfax Ave, Hofheimer Hall, Suite 118, Norfolk, VA 23507-1914 | 2007-01-31 |
| Street Address |
7331 BRUNO AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750584645 | Julie Marie Gullickson | Case Manager/Care Coordinator | 7331 Bruno Ave, Saint Louis, MO 63117-2409 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899374 | Christopher Seigel | Counselor | 5317 Mild Dr, Saint Louis, MO 63129-3109 | 2020-10-26 |
| 1467067504 | Anne Margaret Perkins | Counselor | 9733 Saint Charles Rock Rd, Saint Louis, MO 63114-2625 | 2020-09-15 |
| 1730792722 | Aryn Bostic | Counselor | 7584 Olive Blvd Ste 203, Saint Louis, MO 63130-1600 | 2020-08-28 |
| 1417568932 | Child and Family Empowerment Center | Counselor | 800 N Tucker Blvd Fl 1, Saint Louis, MO 63101-1008 | 2020-08-10 |
| 1720603830 | Kelly Marie Buckley | Counselor | 5939 Hilgard Pl, Saint Louis, MO 63109-3445 | 2020-06-15 |
| 1407479207 | Lauren Elizabeth Summers | Counselor | 6261 Reber Pl, Saint Louis, MO 63139-2617 | 2020-05-27 |
| 1306469960 | Walter Robert Scull | Counselor | 1300 Kirkham Ave, Saint Louis, MO 63122-3127 | 2020-05-18 |
| 1982226759 | David Mcgraw | Counselor | 28 Reasor Dr, Saint Louis, MO 63135-1125 | 2020-05-14 |
| 1992326565 | Chantrell M Carter | Counselor | 5027 Mardel Ave, Saint Louis, MO 63109-1731 | 2020-05-05 |
| 1508486333 | Evelyn Aviva Witten | Counselor | 130 S Bemiston Ave Ste 604, Saint Louis, MO 63105-1913 | 2020-04-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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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.