Kelly Todd Bradshaw (NPI# 1295283182, PAC ID# 5395024020) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295283182 |
| PAC ID by PECOS | 5395024020 |
| Professional Enrollment ID | I20161121000011 |
| Full Name | Kelly Todd Bradshaw |
| Organization Legal Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Address |
920 Church N St 255a Concord NC 28025-2927 |
| Phone Number | 7044031331 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961310685 |
| Number of Group Practice Members | 429 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340098 | CAROLINAS MEDICAL CENTER-PINEVILLE |
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 420002 | PIEDMONT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 7043552165 | CAROLINAS MEDICAL CENTER |
| 920 Church N St, 255a, Concord, NC 28025-2927 | 7044031331 | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Organization Legal Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Physicians | 440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley Eugene | Family Medicine | The Charlotte-mecklenburg Hospital Authority | 340 Jake Alexander W Blvd, Salisbury, NC 28147-1364 |
| Amanda Renee Gordon | Nurse Practitioner | The Charlotte-mecklenburg Hospital Authority | 315 Medical Park Dr, Suite 202, Concord, NC 28025-2973 |
| Ariel Catherine Haddad | Obstetrics/gynecology | The Charlotte-mecklenburg Hospital Authority | 1054 Burrage Nerd, Concord, NC 28025-2910 |
| Dennis Joseph Charette | Family Medicine | The Charlotte-mecklenburg Hospital Authority | 412 E Franklin St, Franklin St Ambulatory Clinic, Monroe, NC 28112-5600 |
| Armida G Parala-metz | Hospice/palliative Care | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Jameel F Audeh | Medical Oncology | The Charlotte-mecklenburg Hospital Authority | 181 Daniel Rd, Suite 100, Forest City, NC 28043-7151 |
| Samantha Jo Lane | Internal Medicine | The Charlotte-mecklenburg Hospital Authority | 3020 Weddington Rd, Concord, NC 28027-8158 |
| Jennifer B Hale | General Surgery | The Charlotte-mecklenburg Hospital Authority | 920 Church N St, 255a, Concord, NC 28025-2927 |
| Lucy N Fancourt | Nurse Practitioner | The Charlotte-mecklenburg Hospital Authority | 888 Church St N, Concord, NC 28025-4350 |
| Ali Reza Golshayan | Medical Oncology | The Charlotte-mecklenburg Hospital Authority | 2610 Aberdeen Blvd, Gastonia, NC 28054-0637 |
| Street Address |
920 CHURCH N ST 255A |
| City | CONCORD |
| State | NC |
| Zip | 28025-2927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer B Hale | General Surgery | The Charlotte-mecklenburg Hospital Authority | 920 Church N St, 255a, Concord, NC 28025-2927 |
| Ryan C Romano | Pathology | Cabarrus Pathology Associates Pa | 920 Church N St, Concord, NC 28025-2927 |
| Jessica K Jansson | Physician Assistant | The Charlotte-mecklenburg Hospital Authority | 920 Church N St, Concord, NC 28025-2927 |
| Christine F Piller | Pathology | Cabarrus Pathology Associates Pa | 920 Church N St, Concord, NC 28025-2927 |
| Christine Marie Schlemmer | Physician Assistant | The Charlotte-mecklenburg Hospital Authority | 920 Church N St, Concord, NC 28025-2927 |
| Eleanor W Lambert | Nurse Practitioner | Carolinas Physicians Network Inc | 920 Church N St, Concord, NC 28025-2927 |
| Jeffrey Greene | Internal Medicine | The Charlotte-mecklenburg Hospital Authority | 920 Church N St, 255a, Concord, NC 28025-2927 |
| Sarah J Blake | Physician Assistant | The Charlotte-mecklenburg Hospital Authority | 920 Church N St, Concord, NC 28025-2927 |
| Laura Davis Troutman | Nurse Practitioner | The Charlotte-mecklenburg Hospital Authority | 920 Church N St, 255a, Concord, NC 28025-2927 |
| Sherma S Morton | Obstetrics/gynecology | The Charlotte-mecklenburg Hospital Authority | 920 Church N St, 255a, Concord, NC 28025-2927 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey B Gipe | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Lara Junine Pons | Hospitalist | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Steven E Lucas | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Jenna S Thomas | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Jonathan Ryan Patterson | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Richard A Smits | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Brent H Messick | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Susan R Andersen | General Practice | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Lori J Seymour | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Victor L Ha | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Find all physicians in zip 28025 | |||
| City | CONCORD |
| Zip Code | 28025 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONCORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly Todd Bradshaw.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.