C. MARSHALL BRADSHAW MD PA NPI 1912227059

NPI Information

  • NPI: 1912227059
  • Provider Name: C. MARSHALL BRADSHAW MD PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 6103 W AMARILLO BLVD
    SUITE A
    AMARILLO, TX
    ZIP 79106
  • Phone: (806) 355-1559

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NPI Details

C. MARSHALL BRADSHAW MD PA is a specialist in Amarillo, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. C. MARSHALL BRADSHAW MD PA NPI is 1912227059. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6103 W AMARILLO BLVD
SUITE A
AMARILLO, TX
ZIP 79106-936
Phone: (806) 355-1559
Fax: (806) 355-2273

The provider's authorized official is Charles Marshall Bradshaw .
The authorized official title is President and has the following contact phone number (806) 355-1559.

The enumeration date for this NPI number is 6/10/2010 and was last updated on 6/10/2010.

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
1174400000XSpecialistD2367TEXASYes

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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