TREVIN LAIN BRADSHAW NPI 1063381705

NPI Information

  • NPI: 1063381705
  • Provider Name: TREVIN LAIN BRADSHAW
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 S STEMMONS ST
    SANGER, TX
    ZIP 76266
  • Phone: (940) 302-3042

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NPI Details

Trevin Lain Bradshaw is a family nurse practitioner in Sanger, TX. Trevin Lain Bradshaw NPI is 1063381705. The provider is registered as an individual entity type.

The provider's business location address is:

500 S STEMMONS ST
SANGER, TX
ZIP 76266-223
Phone: (940) 302-3042

The NPI 1063381705 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2025 and was last updated on 10/31/2025.

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
1363LF0000XNurse PractitionerFamily1216645TEXASYes

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: 11/21/2025

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