NPI Details
DR. Bascom Kyle Bradshaw, D.O., M.P.H. is a psychiatry psychiatry neurology in Pensacola, FL with 25 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.
Education
Medical School: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year:2001
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.
- Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
- Hospital discharge day management, 30 minutes or less (HCPCS:99238)
- Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
- Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
The enumeration date for this NPI number is 9/20/2006 and was last updated on 4/16/2025.
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 |
| 1 | 2083A0100X | Preventive Medicine | Aerospace Medicine | 02002502A | INDIANA | No |
| 2 | 2084P0800X | Psychiatry & Neurology | Psychiatry | DO.1388 | ALABAMA | No |
| 3 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 02002502A | INDIANA | No |
| 4 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 73929 | GEORGIA | No |
| 5 | 2084P0800X | Psychiatry & Neurology | Psychiatry | OS16451 | FLORIDA | No |
| 6 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 2018-01630 | NORTH CAROLINA | 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 |
Other Provider Identifier Issuer |
| 1 | 1518064583 | MEDICAID | NORTH CAROLINA | |
