CRYSTAL-DAWN BRADSHAW DPM NPI 1780047969

NPI Information

  • NPI: 1780047969
  • Provider Name: CRYSTAL-DAWN BRADSHAW, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10 MEDICAL PARK STE 203
    WHEELING, WV
    ZIP 26003
  • Phone: (304) 243-8360

Map and Directions

Get Directions

NPI Details

Crystal-dawn Bradshaw, DPM is a foot and ankle surgery podiatrist in Wheeling, WV with 10 years of experience. Crystal-dawn Bradshaw, DPM NPI is 1780047969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2016

The provider's business location address is:

10 MEDICAL PARK STE 203
WHEELING, WV
ZIP 26003-389
Phone: (304) 243-8360

The NPI 1780047969 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).

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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection into tendon or ligament (HCPCS:20550)
  • Permanent removal fingernail or toenail (HCPCS:11750)

The enumeration date for this NPI number is 4/4/2016 and was last updated on 10/7/2022.

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
1213E00000XPodiatrist10499WEST VIRGINIANo
2213ES0103XPodiatristFoot & Ankle Surgery733NORTH CAROLINAYes

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

NPI Synchronization or Removal

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.