Susan Vernell Bradshaw (NPI# 1366893299, PAC ID# 9133416142) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366893299 |
| PAC ID by PECOS | 9133416142 |
| Professional Enrollment ID | I20160919002599 |
| Full Name | Susan Vernell Bradshaw |
| Organization Legal Name | GENESIS ENTERPRISES, INC. |
| Address |
1463 Campbellsville Rd Columbia KY 42728-2263 |
| Phone Number | 2703849934 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4082524822 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181330 | RUSSELL COUNTY HOSPITAL |
| 180087 | TAYLOR REGIONAL HOSPITAL |
| 180149 | TJ HEALTH COLUMBIA |
| Address | Phone | Organization |
|---|---|---|
| 1463 Campbellsville Rd, Columbia, KY 42728-2263 | 2703849934 | GENESIS ENTERPRISES, INC. |
| Organization Legal Name | GENESIS ENTERPRISES, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert S Shipp | Obstetrics/gynecology | Genesis Enterprises, Inc. | 1463 Campbellsville Rd, Columbia, KY 42728-2263 |
| Mary L Dene | Internal Medicine | Genesis Enterprises, Inc. | 1463 Campbellsville Rd, Columbia, KY 42728-2263 |
| Sandra F Popplewell | Family Medicine | Genesis Enterprises, Inc. | 1463 Campbellsville Rd, Columbia, KY 42728-2263 |
| Street Address |
1463 CAMPBELLSVILLE RD |
| City | COLUMBIA |
| State | KY |
| Zip | 42728-2263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert S Shipp | Obstetrics/gynecology | Genesis Enterprises, Inc. | 1463 Campbellsville Rd, Columbia, KY 42728-2263 |
| Mary L Dene | Internal Medicine | Genesis Enterprises, Inc. | 1463 Campbellsville Rd, Columbia, KY 42728-2263 |
| Sandra F Popplewell | Family Medicine | Genesis Enterprises, Inc. | 1463 Campbellsville Rd, Columbia, KY 42728-2263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley L Robertson | Nurse Practitioner | T J Health Columbia Inc | 810 Jamestown St, Columbia, KY 42728-1010 |
| Clinton Kiteck | Family Medicine | T J Health Columbia Inc | 810 Jamestown St, Columbia, KY 42728-1010 |
| Eric W Townsend | Nurse Practitioner | T J Health Columbia Inc | 810 Jamestown St, Columbia, KY 42728-1010 |
| Ronald P Rogers | Chiropractic | 920 Russell Rd, Columbia, KY 42728-1036 | |
| Anthony W Grant | Chiropractic | 908 Russell Rd, Columbia, KY 42728-1036 | |
| Patricia L Doolin | Nurse Practitioner | T J Health Columbia Inc | 902 Westlake Dr, Suite 101, Columbia, KY 42728-1149 |
| Elizabeth Partin | Nurse Practitioner | Family First Health Care, Pllc | 363 Office Park Dr, Columbia, KY 42728-1392 |
| Julie Gaskins | Nurse Practitioner | Family First Health Care, Pllc | 363 Office Park Dr, Columbia, KY 42728-1392 |
| Jaclyn K Cooper-henson | Chiropractic | 117 Merchant St, Columbia, KY 42728-1437 | |
| Viorel Boborodea | Family Medicine | 803 Burkesville St, Columbia, KY 42728-1655 | |
| Find all physicians in zip 42728 | |||
| City | COLUMBIA |
| Zip Code | 42728 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COLUMBIA + NURSE PRACTITIONER |
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| 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.