MICHAEL BRADSHAW NPI 1255782496

NPI Information

NPI: 1255782496
Provider Name: MICHAEL BRADSHAW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4650 KESTER AVE APT 101
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 723-9403
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Michael Bradshaw is an addiction (substance use disorder) counselor in Sherman Oaks, CA. Michael Bradshaw NPI is 1255782496. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4650 KESTER AVE APT 101
SHERMAN OAKS, CA
ZIP 91403-533
Phone: (818) 723-9403

The enumeration date for this NPI number is 6/29/2016 and was last updated on 6/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	156042 I	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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