BRADLEY BRADSHAW (NPI# 1972747574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972747574 |
| Entity Type | Individual |
| Full Name | BRADLEY BRADSHAW |
| Credential | M.D. |
| Practice Address |
1904 S Shady Hill Ln Springfield MO 65809-2601 |
| Practice Telephone | 4178609044 |
| Mailing Telephone | 4178609044 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | R5G73 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1904 S SHADY HILL LN |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65809-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073016671 | Luke P Walker | Pharmacist | 1247 S Greentree Ave, Springfield, MO 65809 | 2018-03-10 |
| 1265985543 | Stacy Loc Rohrbaugh | Registered Nurse | 889 White Diamond Ct, Springfield, MO 65809 | 2016-08-03 |
| 1144651571 | Valence Massage | Massage Therapist | 4411 E. Sunshine, Suite H, Springfield, MO 65809 | 2013-12-11 |
| 1750654752 | Leo Thomas Neu Jr. | Internal Medicine | 3721 E Bowman, Springfield, MO 65809 | 2012-02-22 |
| 1194743187 | Daniel Joseph Edwards | Specialist/Technologist | 807 S Mission Cir, Springfield, MO 65809-1348 | 2006-07-17 |
| 1780892976 | The Arc of The Ozarks | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3445 E Lombard St, Springfield, MO 65809-1420 | 2007-05-19 |
| 1093189953 | Henry Krahn | Community Health Worker | 741 S Mumford Cir, Springfield, MO 65809-1516 | 2015-11-16 |
| 1366683989 | Nancy Louise Samples | Counselor | 4410 E Valley Rd, Springfield, MO 65809-1622 | 2009-03-11 |
| 1558902775 | Stephanie L Mcbratney | Speech-Language Pathologist | 3510 E Whitehall Dr, Springfield, MO 65809-2135 | 2019-09-30 |
| 1508992686 | Raystarr, LLC | Durable Medical Equipment & Medical Supplies | 3259 E Sunshine St Ste R, Springfield, MO 65809-2143 | 2007-02-26 |
| Find all providers in zip 65809 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1609218510 | Ojv Inc. | General Practice | 4936 Laverna Rd, Springfield, IL 62707-9797 | 2013-07-19 |
| 1861742223 | Victoria J. Dow | General Practice | 948 Clocktower Drive, Springfield, IL 62704 | 2012-09-13 |
| 1386963429 | Care Station Medical Group, Pa | General Practice | 90 Us Highway 22, Springfield, NJ 07081-3110 | 2010-05-28 |
| 1164758892 | John Thomas Kelly | General Practice | 2105 Interlacken Dr, Springfield, IL 62704 | 2009-10-31 |
| 1265685515 | International Medical Center, Inc | General Practice | 5410 Port Royal Rd, Suite 100, Springfield, VA 22151-2314 | 2008-10-30 |
| 1518121565 | Robert Charles Woods | General Practice | 1522 S Cedar Ridge St, Springfield, MO 65809-2356 | 2008-07-17 |
| 1083817639 | Saul Wider | General Practice | 359 Spring Valley Rd, Springfield, PA 19064 | 2007-06-08 |
| 1669681938 | Shwee-tian Chou | General Practice | 517 Boston Rd, Springfield, MA 01109-1230 | 2007-05-22 |
| 1326116229 | Abdulkareem I Kraidy | General Practice | 6801 Backlick Rd, Springfield, VA 22150-3071 | 2006-12-01 |
| 1821168683 | Doctors Hearing Center Pllc Xiig | General Practice | 1306 E Sunshine St, Springfield, MO 65804 | 2006-11-09 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65809 |
Please comment or provide details below to improve the information on BRADLEY BRADSHAW.
| 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.