DR. ELIZABETH PLEASANTS BRADSHAW (NPI# 1235295866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235295866 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH PLEASANTS BRADSHAW |
| Credential | M.D. |
| Practice Address |
710 Falls Blvd S Wynne AR 72396-3514 |
| Practice Telephone | 8702382321 |
| Practice Fax Number | 8702380114 |
| Mailing Telephone | 8702382321 |
| Mailing Fax Number | 8702380114 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | E4904 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | STATE LICENSE NUMBER | E4904 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083157424 | Elizabeth Bradshaw | Social Worker | 443 Ne Stafford St, Portland, OR 97211-2847 | 2016-12-01 |
| 1104159177 | Elizabeth Corich Bradshaw | Family Medicine | 406 Provincetown Ln, Richardson, TX 75080-3421 | 2009-09-09 |
| 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 |
| Street Address |
710 FALLS BLVD S |
| City | WYNNE |
| State | AR |
| Zip Code | 72396-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346355518 | Mark Standridge Bradshaw | Family Medicine | 710 Falls Blvd S, Wynne, AR 72396-3514 | 2006-08-20 |
| 1710517677 | Wynne Physicians Clinic LLC | Family Medicine | 710 Falls Blvd S, Wynne, AR 72396-3514 | 2020-01-20 |
| 1659735421 | Jeremiah Nugent | Family Medicine | 710 Falls Blvd S, Wynne, AR 72396 | 2016-04-07 |
| 1306250865 | Hannah Rose Sutton | Physician Assistant | 710 Falls Blvd S, Wynne, AR 72396-3514 | 2014-06-12 |
| 1417136615 | Wynne Medical Clinic | Family Medicine | 710 Falls Blvd S, Wynne, AR 72396-3514 | 2007-10-24 |
| 1538383567 | Wynne Medical Clinic | Family Medicine | 710 Falls Blvd S, Wynne, AR 72396-3514 | 2007-04-12 |
| 1548376148 | Wynne Medical Clinic Pa | Family Medicine | 710 Falls Blvd S, Wynne, AR 72396-3514 | 2006-08-23 |
| 1396850004 | Robert Andrew Hayes Jr. | Family Medicine | 710 Falls Blvd S, Wynne, AR 72396-3514 | 2006-08-20 |
| 1952416653 | James Trent Beaton | Family Medicine | 710 Falls Blvd S, Wynne, AR 72396-3514 | 2006-08-20 |
| 1619082310 | Willard Gene Burks | Family Medicine | 710 Falls Blvd S, Wynne, AR 72396-3514 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
| 1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
| 1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
| 1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
| 1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
| 1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
| 1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
| 1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
| Find all providers in zip 72396 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757630 | Kaylah Charles | Pediatrics | 36 Melinda Dr, Little Rock, AR 72209-3341 | 2020-10-12 |
| 1285254193 | Glenwood Pediatrics Pllc | Pediatrics | 408 N 1st St Ste C, Glenwood, AR 71943-9252 | 2020-04-21 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1235618992 | Baptist Health Services | Pediatrics | 209 Pointer Trl W Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1164909081 | Mena Pediatric Center, Pllc | Pediatrics | 900 Highway 71 N, Mena, AR 71953-4304 | 2018-07-24 |
| 1073006680 | Ezgi Saylam | Pediatrics | 15515 Capitol Hill Blvd Apt 616, Little Rock, AR 72223-7212 | 2018-06-08 |
| 1851889356 | Arkansas Pediatric Clinic, Pllc | Pediatrics | 16115 Saint Vincent Way Ste 320, Little Rock, AR 72223-3000 | 2018-04-30 |
| 1417461500 | Dr Albert Obiozo Pediatrics Inc | Pediatrics | 161 Fawnwood Cir, El Dorado, AR 71730-8633 | 2017-11-28 |
| 1417478074 | Brave Pediatric Therapy, Inc. | Pediatrics | 13798 Mace Rd, Danville, AR 72833-6770 | 2017-07-04 |
| Find all providers with the same taxonomy | ||||
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| 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.