BRADLEY BRADSHAW M.D. NPI 1972747574

NPI Information

  • NPI: 1972747574
  • Provider Name: BRADLEY BRADSHAW, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 1904 S SHADY HILL LN
    SPRINGFIELD, MO
    ZIP 65809
  • Phone: (417) 860-9044

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NPI Details

Bradley Bradshaw, M.D. is a general practice in Springfield, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Bradley Bradshaw, M.D. NPI is 1972747574. 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:

1904 S SHADY HILL LN
SPRINGFIELD, MO
ZIP 65809-601
Phone: (417) 860-9044

The enumeration date for this NPI number is 4/27/2009 and was last updated on 4/27/2009.

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
1208D00000XGeneral PracticeR5G73MISSOURIYes

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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