BRADLEY J SHAW (NPI# 1942721592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942721592 |
| Entity Type | Individual |
| Full Name | BRADLEY J SHAW |
| Credential | CRNP |
| Practice Address |
1229 S 2nd St Ste B Clearfield PA 16830-3305 |
| Practice Telephone | 8147624890 |
| Mailing Telephone | 8147624890 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP017631 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 621 S Main St, Du Bois, PA 158011413 | 8143756072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104229871 | Bradley Shaw | Counselor | 3708 Robinwood Cir, Bryant, AR 72022-8374 | 2014-10-08 |
| Street Address |
1229 S 2ND ST STE B |
| City | CLEARFIELD |
| State | PA |
| Zip Code | 16830-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346751773 | Katelyn Marie Coder | Counselor | 600 Leonard St., Clearfield, PA 16830 | 2017-10-12 |
| 1730607128 | Brianna Spencer | Specialist/Technologist | 308 Witmer Street, Clearfield, PA 16830 | 2017-09-06 |
| 1487061487 | Tuesday Dawn Baker-couturiaux | Counselor | 600 Leonard Street, Clearfield, PA 16830 | 2014-07-22 |
| 1841545076 | Rashmi Mishra | Internal Medicine | 531c Hannah St, Clearfield, PA 16830 | 2012-07-13 |
| 1609911502 | Andrew Williams Zimmerman | Dentist | 402 East Market St, Clearfield, PA 16830 | 2007-02-20 |
| 1780759753 | Matthew C Rich | Chiropractor | 6247 Clearfield Woodland Hwy, Clearfield, PA 16830 | 2006-11-22 |
| 1316039043 | Michael Guy Simpson | Optometrist | 100 Super Center Drive, Clearfield, PA 16830 | 2006-09-29 |
| 1801996699 | Nathaniel D. Yingling Cancer Center | Clinic/Center | 815 Doctors Drive, Clearfield, PA 16830 | 2006-09-22 |
| 1558370130 | Mary E Flick | Dentist | 114 S 2nd St, Clearfield, PA 16830 | 2006-08-05 |
| 1386650174 | Scott R. Strauss, D.o. | Family Medicine | 531a Hannah Street, Clearfield, PA 16830 | 2006-07-31 |
| Find all providers in zip 16830 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861988107 | Shelby Holmes | Nurse Practitioner | 1527 S 1000 W, Clearfield, UT 84015-8529 | 2018-07-10 |
| 1639441264 | Kim I Beus | Nurse Practitioner | 383 E 1900 S, Clearfield, UT 84015 | 2012-01-27 |
| 1003803792 | Cynthia L. Haacke | Nurse Practitioner | 20 W 1700 S, Clearfield, UT 84016-6004 | 2005-09-29 |
| 1306320155 | Darryl Hardy | Nurse Practitioner | 20 W 1700 S, Clearfield, UT 84016-6004 | 2018-09-18 |
| 1447696133 | Darrin Tuckett | Nurse Practitioner | 22 S State St, Clearfield, UT 84015-1043 | 2013-05-21 |
| 1629210646 | Liena M Brady | Nurse Practitioner | 926 W 1700 S, Clearfield, UT 84015-8530 | 2009-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1891395406 | Eimy Aguilar | Nurse Practitioner | 18 Descartes Dr, Lancaster, PA 17603-8861 | 2020-11-01 |
| 1134729775 | Jacqueline A Ouma | Nurse Practitioner | 4530 Clairton Blvd, Pittsburgh, PA 15236-2112 | 2020-10-30 |
| 1932709912 | Sheri Lynn Tittelmayer | Nurse Practitioner | 1012 Rozel Ave, Southampton, PA 18966-4130 | 2020-10-28 |
| 1346849197 | Alexander F Talarico | Nurse Practitioner | 576 Broad St, Emmaus, PA 18049-3856 | 2020-10-22 |
| 1255930129 | Patrick A Foster | Nurse Practitioner | 3332 Eisenbrown Rd, Reading, PA 19605-1412 | 2020-10-22 |
| 1033718051 | Charlene Martin Wolfgang | Nurse Practitioner | 806 Megan Dr, Cranberry Twp, PA 16066-7422 | 2020-10-21 |
| 1750980728 | Jamie Simpson | Nurse Practitioner | 618 Rachelle Ct, Latrobe, PA 15650-4731 | 2020-10-21 |
| 1124627138 | Ashley G Dillard | Nurse Practitioner | 5447 Stanton Ave, Pittsburgh, PA 15206-2518 | 2020-10-21 |
| 1831798867 | Elena Khlobystova | Nurse Practitioner | 16 Carriage House Dr, Southampton, PA 18966-2225 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | CLEARFIELD |
| Zip Code | 16830 |
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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.