TODD M. BRADSHAW (NPI# 1518968460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518968460 |
| Entity Type | Individual |
| Full Name | TODD M. BRADSHAW |
| Credential | MD |
| Practice Address |
225 Memorial Dr Ste 1200 Berlin WI 54923-1243 |
| Practice Telephone | 9203615770 |
| Practice Fax Number | 9203615779 |
| Mailing Telephone | 9203615770 |
| Mailing Fax Number | 9203615779 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2014-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 36541-020 | WI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 36541-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32152000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669636031 | Todd Wesley Bradshaw | Orthopaedic Surgery | 1100 S Coulter St, Amarillo, TX 79106-1836 | 2008-07-15 |
| Street Address |
225 MEMORIAL DR STE 1200 |
| City | BERLIN |
| State | WI |
| Zip Code | 54923-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366852550 | Abigail K Puglisi | Family Medicine | 225 Memorial Dr Ste 1200, Berlin, WI 54923-1243 | 2014-04-28 |
| 1205823762 | Kerry Mark Simon | Family Medicine | 225 Memorial Dr Ste 1200, Berlin, WI 54923-1243 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1962020792 | Brown Wilcox Trustees, Inc. | Home Health | 347 East Huron Street, Berlin, WI 54923 | 2020-07-08 |
| 1083050942 | Veterinary Clinic Berlin/ripon | Veterinarian | W1915 Cty Road F, Berlin, WI 54923 | 2013-05-20 |
| 1114078243 | David Earl Johanknecht | Optometrist | 269 Memorial Dr, Suite 103, Berlin, WI 54923 | 2007-01-16 |
| 1043314677 | William Harold Hastreiter | Dentist | 102 W Huron St, Berlin, WI 54923 | 2006-09-12 |
| 1699725333 | Kurt Alan Zemke | Dentist | 280 South Church St, Berlin, WI 54923 | 2006-05-11 |
| 1942280821 | Dina N Nelson | Nurse Anesthetist, Certified Registered | 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 | 2006-01-18 |
| 1679574453 | Craig Batley | Family Medicine | W832 Hwy 91, Suite 3, Berlin, WI 54923 | 2005-08-03 |
| 1477043313 | Lina D Ramos | Registered Nurse | 225 Memorial Dr, Berlin, WI 54923 | 2018-05-16 |
| 1760887392 | Waushara Dental Associate Sc | Dentist | 322 Broadway, Berlin, WI 54923 | 2014-10-24 |
| Find all providers in zip 54923 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093179400 | Justin Cherng Chuang | Family Medicine | Cvmc Hospitalist Department, 130 Fisher Road, 3rd Floor, Berlin, VT 05602-9000 | 2016-04-12 |
| 1952789265 | Brianne Teaboldt | Family Medicine | 133 Pleasant St Unit 2, Berlin, NH 03570 | 2015-05-07 |
| 1841587839 | Brian L Rodriguez | Family Medicine | 130 Fisher Rd., Ste. #3-1, Fahc-berlin Family Practice, Berlin, VT 05602 | 2011-06-29 |
| 1134428105 | Community Health Network | Family Medicine | W832 State Road 91, Ste 3, Berlin, WI 54923-8821 | 2011-03-16 |
| 1801038260 | Peninsula Regional Medical Center | Family Medicine | 10445 Ocean City Blvd, Unit #1, Berlin, MD 21811 | 2009-04-01 |
| 1306016050 | Atco Family Medical Associates, PC | Family Medicine | 10 Gardens Avenue, Berlin, NJ 08009-2104 | 2008-03-10 |
| 1336325596 | Jill E. Moorcroft | Family Medicine | 279 New Britain Rd, #6, Origins of Health, LLC, Berlin, CT 06037 | 2008-01-17 |
| 1902087190 | Richard Andrews Crandall IIi | Family Medicine | 1093 Brookfield Rd, Berlin, VT 05602-9065 | 2007-11-16 |
| 1174635536 | Angela L Gibbs | Family Medicine | 11200 Racetrack Rd, Ste A104, Berlin, MD 21811-3809 | 2006-08-31 |
| 1053347708 | Jennifer Brennan Bamford | Family Medicine | 130 Fisher Rd., Uvm Medical Center - Fm/berlin, Berlin, VT 05602 | 2006-06-24 |
| Find all providers in BERLIN | ||||
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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.