DR. CHARLES PEDIGO BRADSHAW (NPI# 1538361456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538361456 |
| Entity Type | Individual |
| Full Name | DR. CHARLES PEDIGO BRADSHAW |
| Credential | DMD |
| Practice Address |
220 Conway St Suite 2 Frankfort KY 40601-2748 |
| Practice Telephone | 5022234120 |
| Practice Fax Number | 5022234166 |
| Mailing Telephone | 5022234120 |
| Mailing Fax Number | 5022234166 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4154 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123321 | Charles Bradshaw | Physical Therapist | 118 Johnson Ave, Celina, OH 45822-1219 | 2017-06-08 |
| 1427595792 | Charles Everett Bradshaw | Pharmacist | 455 W Montana St, Pasadena, CA 91103-1327 | 2017-01-25 |
| 1043477672 | Charles Jeremy Bradshaw | Physician Assistant | 1849 Old Donation Pkwy, Virginia Beach, VA 23454-3004 | 2008-05-21 |
| 1104866714 | Charles Marshall Bradshaw | Specialist | 1521 Cooper St, Fort Worth, TX 76104-2711 | 2006-06-08 |
| 1780632851 | Charles B Bradshaw | Clinical Neuropsychologist | 750 E Adams St, Department of Neurology, Syracuse, NY 13210-2306 | 2006-05-04 |
| Street Address |
220 CONWAY ST SUITE 2 |
| City | FRANKFORT |
| State | KY |
| Zip Code | 40601-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558439216 | Valerie R Edmonds | Dentist | 220 Conway St, Suite 2, Frankfort, KY 40601-2748 | 2006-12-01 |
| 1467672618 | Evelyn Patella Clark | Dentist | 220 Conway St, Frankfort, KY 40601-2748 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568082410 | David Health Solutions | Nurse Practitioner | 796 Ninevah Rd, Frankfort, KY 40601 | 2020-04-21 |
| 1013549146 | Shawna Wallen | Pharmacist | 300 Brighton Park Blvd, Frankfort, KY 40601 | 2020-02-06 |
| 1629609417 | Suzannah Cartinhour Shouse | Pharmacist | 300 Brighton Park Blvd., Frankfort, KY 40601 | 2020-01-30 |
| 1942848460 | Prana Wellness | Occupational Therapist | 220 Conway Street, Frankfort, KY 40601 | 2019-12-16 |
| 1194288910 | Katherine Bates | Art Therapist | 2225 Lawrenceburg Road, Building A Suite 1, Frankfort, KY 40601 | 2019-04-09 |
| 1912476862 | Jennifer Suzann Robinson | Health Educator | 851 East-west Connector, Frankfort, KY 40601 | 2018-11-21 |
| 1649758541 | Parker Reynolds | Physical Therapist | 111 Westridge Drive, Suite E-f, Frankfort, KY 40601 | 2018-08-02 |
| 1376034397 | Bethany Ann Burton | Dentist | 1006 Leawood Dr Ste 200, Frankfort, KY 40601 | 2018-05-24 |
| 1174046106 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1303 Us Highway 127 S Ste 106, Frankfort, KY 40601 | 2017-07-21 |
| 1619498136 | Linda Carol Langley | Physical Therapist | 108 Diagnostic Dr., Suite C, Frankfort, KY 40601 | 2017-07-06 |
| Find all providers in zip 40601 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508312950 | Katherine Danielle Roberts | Dentist | 101 Jett Blvd Ste 100, Frankfort, KY 40601-7778 | 2016-08-26 |
| 1093075590 | Abdul Aleem Faiyaz Dave | Dentist | 21188 S Lagrange Rd, Frankfort, IL 60423-2010 | 2012-05-18 |
| 1770850653 | Treasured Smiles General Dentistry, LLC | Dentist | 10325 W. Lincoln Highway, Frankfort, IL 60423 | 2011-11-21 |
| 1659669448 | Ryan Charles Lewis | Dentist | 630 Comanche Trl Ste A, Frankfort, KY 40601-1754 | 2011-07-14 |
| 1639464688 | Natalie Rose Atkinson | Dentist | 1433 E Wabash St, Frankfort, IN 46041-2742 | 2011-06-16 |
| 1790936698 | Manjeev Malhotra | Dentist | 19558 S. Harlem Ave., Suite 1, Frankfort, IL 60423-6743 | 2008-10-09 |
| 1700068798 | Richard Stoss | Dentist | 315 Leonardwood Rd, Frankfort, KY 40601-6532 | 2007-11-30 |
| 1093904583 | Raymond Joseph Whittingham | Dentist | 330 W Lincoln Hwy, Frankfort, IL 60423-1289 | 2007-10-19 |
| 1770704538 | Richard D Schneider | Dentist | 200 Kings Daughters Dr, Frankfort, KY 40601-6510 | 2007-05-01 |
| 1669595690 | Josef Camello Doctor | Dentist | 10065 W Lincoln Hwy, Presidents Row Office Park Josef C Doctor Dds, Frankfort, IL 60423 | 2007-04-06 |
| Find all providers in FRANKFORT | ||||
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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.