JOHN R BRADSHAW MD NPI 1316918527

NPI Information

NPI: 1316918527
Provider Name: JOHN R BRADSHAW, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Address:
1600 LAKELAND HILLS BLVD
LAKELAND, FL
ZIP 33805
Phone: (863) 680-7000
Get Directions

John R Bradshaw, MD is a vascular and interventional radiology radiology in Lakeland, FL. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. John R Bradshaw, MD NPI is 1316918527. 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:

1600 LAKELAND HILLS BLVD
LAKELAND, FL
ZIP 33805
Phone: (863) 680-7000
Fax: (866) 264-8519

The enumeration date for this NPI number is 1/27/2006 and was last updated on 6/26/2012.

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	2085R0204X	Radiology	Vascular & Interventional Radiology	ME50635	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	046225000	MEDICAID	FLORIDA
2	D50866	MEDICARE UPIN
3	03882Z	MEDICARE PIN	FLORIDA
4	0471260001	MEDICARE NSC	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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