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DR. BASCOM KYLE BRADSHAW D.O. M.P.H. NPI 1518064583


NPI Information

NPI: 1518064583
Provider Name: DR. BASCOM KYLE BRADSHAW, D.O., M.P.H.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

Organization: PHOEBE PHYSICIAN GROUP INC

PECOS Registration: Yes

Address:
2191 E JOHNSON AVE
PENSACOLA, FL
ZIP 32514
Phone: (850) 494-3917
Get Directions

DR. Bascom Kyle Bradshaw, D.O., M.P.H. is a psychiatry psychiatry neurology in Pensacola, FL with 23 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. Bascom Kyle Bradshaw, D.O., M.P.H. NPI is 1518064583. 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:

2191 E JOHNSON AVE
PENSACOLA, FL
ZIP 32514-029
Phone: (850) 494-3917
Fax: (850) 494-3960

The NPI 1518064583 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 9/20/2006 and was last updated on 11/13/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083A0100XPreventive MedicineAerospace Medicine02002502AINDIANANo
22084P0800XPsychiatry & NeurologyPsychiatry73929GEORGIANo
32084P0800XPsychiatry & NeurologyPsychiatry02002502AINDIANANo
42084P0800XPsychiatry & NeurologyPsychiatryDO.1388ALABAMANo
52084P0800XPsychiatry & NeurologyPsychiatry2018-01630NORTH CAROLINANo
62084P0800XPsychiatry & NeurologyPsychiatryOS16451FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11518064583MEDICAIDNORTH CAROLINA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.