DR. ELIZABETH CORICH BRADSHAW (NPI# 1104159177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104159177 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH CORICH BRADSHAW |
| Credential | D.O. |
| Practice Address |
406 Provincetown Ln Richardson TX 75080-3421 |
| Practice Telephone | 2143368540 |
| Practice Fax Number | 9722381448 |
| Mailing Telephone | 2143368540 |
| Mailing Fax Number | 9722381448 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | F6469 | TX | Allopathic & Osteopathic Physicians |
| Y | 202C00000X | Independent Medical Examiner | F6469 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083157424 | Elizabeth Bradshaw | Social Worker | 443 Ne Stafford St, Portland, OR 97211-2847 | 2016-12-01 |
| 1154839926 | Elizabeth A. Bradshaw | Speech-Language Pathologist | 138 Oak Point Dr, Marion, VA 24354-4700 | 2018-01-16 |
| 1427509827 | Elizabeth Bradshaw | Registered Nurse | 290 Willamette St, Umatilla, OR 97882-6601 | 2016-10-20 |
| 1225392202 | Elizabeth A Bradshaw | Physician Assistant | 1215 21st Ave S, Suite 5200, Nashville, TN 37232-0014 | 2012-06-25 |
| 1427316298 | Elizabeth A Bradshaw | Psychologist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2012-04-30 |
| 1821289299 | Elizabeth A Bradshaw | Speech-Language Pathologist | 1730 Woodstead Ct, The Woodlands, TX 77380-1507 | 2007-08-09 |
| 1235295866 | Elizabeth Pleasants Bradshaw | Pediatrics | 710 Falls Blvd S, Wynne, AR 72396-3514 | 2006-12-28 |
| Street Address |
406 PROVINCETOWN LN |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| Taxonomy Code | 202C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners, www.abime.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265982318 | Verity Exams, LLC | Independent Medical Examiner | 3806 Avenue P, Galveston, TX 77550-6662 | 2016-10-12 |
| 1407303068 | Ray Fernandez | Independent Medical Examiner | 2610 Hospital Blvd, Medical Examiner Dept, Corpus Christi, TX 78405 | 2016-09-01 |
| 1639527450 | Aegon Exams, LLC | Independent Medical Examiner | 14319 S Stoneygrove Loop, Houston, TX 77084-2189 | 2016-06-02 |
| 1043649825 | Impairment Solutions | Independent Medical Examiner | 10109 Mckalla Pl Ste E, Austin, TX 78758-4449 | 2013-11-02 |
| 1588902456 | Landmark Exams | Independent Medical Examiner | 5725 W Highway 290 Ste 202, Austin, TX 78735-8722 | 2013-01-28 |
| 1790033900 | Walter Joseph Ambrose | Independent Medical Examiner | 2303 Newforest Ct, Arlington, TX 76017-2619 | 2012-08-20 |
| 1942507041 | James Kevin Vinall | Independent Medical Examiner | 1795 N Fry Rd Ste 125, Katy, TX 77449-3347 | 2011-02-25 |
| 1700037207 | Allied Consulting Medical Evaluators | Independent Medical Examiner | 22028 Highland Knolls Dr Bldg B, Katy, TX 77450-5859 | 2008-10-02 |
| 1699969857 | Leo M. Crowley | Independent Medical Examiner | 5953 Walnut Hill Ln, Dallas, TX 75230-5013 | 2007-08-30 |
| 1053517813 | Jan Yu | Independent Medical Examiner | 3101 San Simeon Way, Plano, TX 75023-6648 | 2007-06-26 |
| Find all providers with the same taxonomy | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
Please comment or provide details below to improve the information on DR. ELIZABETH CORICH BRADSHAW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.