DR. ROBERT JOHN BRADSHAW (NPI# 1558335638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558335638 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JOHN BRADSHAW |
| Credential | M.D. |
| Practice Address |
107 Piper Hill Dr Suite 130 Saint Peters MO 63376-1651 |
| Practice Telephone | 6369285950 |
| Practice Fax Number | 6369285952 |
| Mailing Telephone | 6369285950 |
| Mailing Fax Number | 6369285952 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2012-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | R2C09 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679858393 | Robert Bradshaw | Pharmacist | 2350 Us 31 N, Traverse City, MI 49686-3756 | 2011-10-13 |
| 1538183603 | Robert Lynn Bradshaw | Chiropractor | 1255 E Southern Ave, Suite 3, Mesa, AZ 85204-5153 | 2006-07-26 |
| 1215563010 | Robert Ryan Bradshaw | Student in an Organized Health Care Education/Training Program | 145 Harrison Ave, Boston, MA 02111-1802 | 2020-03-13 |
| 1780880542 | Robert William Bradshaw Jr. | Counselor | 7331 Bruno Ave, Saint Louis, MO 63117-2409 | 2007-06-26 |
| 1245365618 | Robert Waldo Bradshaw | Dentist | 4403 W Court St, Suite A, Pasco, WA 99301-2879 | 2007-02-23 |
| 1982741872 | Robert Dana Bradshaw | Family Medicine | 825 Fairfax Ave, Hofheimer Hall, Suite 118, Norfolk, VA 23507-1914 | 2007-01-31 |
| Street Address |
107 PIPER HILL DR SUITE 130 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558791350 | Amanda Marie Poindexter | Nurse Practitioner | 107 Piper Hill Dr, Saint Peters, MO 63376-1651 | 2013-11-15 |
| 1710118161 | Latasha L Cunningham | Nurse Practitioner | 107 Piper Hill Dr, Saint Peters, MO 63376-1651 | 2009-08-03 |
| 1366688327 | Lisa L Eloff | Nurse Practitioner | 107 Piper Hill Dr, Suite 130, Saint Peters, MO 63376-1651 | 2008-12-22 |
| 1396954293 | Matthew Benjamin Meyer | Family Medicine | 107 Piper Hill Dr, Suite 140, Saint Peters, MO 63376-1651 | 2007-05-21 |
| 1609082692 | Jamie Christine Malone | Physical Therapist | 107 Piper Hill Dr, Suite 160, Saint Peters, MO 63376-1651 | 2007-05-15 |
| 1093921082 | Amanda Heppermann | Physical Therapy Assistant | 107 Piper Hill Dr, Ste 160, Saint Peters, MO 63376-1651 | 2007-05-15 |
| 1922038736 | Ramesh K Khurana | Family Medicine | 107 Piper Hill Dr, Suite 100, Saint Peters, MO 63376-1651 | 2006-07-04 |
| 1295765386 | Behrad Majidi | Internal Medicine | 107 Piper Hill Dr, Suite 100 St. Peters Urgent Care Center, Saint Peters, MO 63376-1651 | 2006-07-04 |
| 1316976392 | Stephanie Marie Orlando | Nurse Practitioner | 107 Piper Hill Dr, Suite 100, Saint Peters, MO 63376-1651 | 2006-07-01 |
| 1487694659 | Mary Beth Ernst | Nurse Practitioner | 107 Piper Hill Dr, Saint Peters, MO 63376-1620 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| 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 |
|---|---|---|---|---|
| 1457593865 | Jesse Groh | Pediatrics | 2740 S Saint Peters Pkwy, Suite A, Saint Peters, MO 63303-6355 | 2009-03-31 |
| 1497721476 | Joseph A Kahn | Pediatrics | 2740 S Highway 94, Suite A, Saint Peters, MO 63303-5609 | 2006-02-28 |
| 1518941145 | Robert J Lobonc | Pediatrics | 4704 Mexico Rd, Saint Peters, MO 63376-1663 | 2005-12-06 |
| 1710375928 | Wuca - Cloverleaf Pediatrics, LLC | Pediatrics | 4200 N Cloverleaf Dr, Suite F, Saint Peters, MO 63376-6436 | 2014-12-23 |
| 1811003890 | Ibrahim Suleman Umar | Pediatrics | 4200 N Cloverleaf Dr, Suite N, Saint Peters, MO 63376-6436 | 2006-08-22 |
| 1487602850 | Larry A Jones | Pediatrics | 2730 S Highway 94, Suite 202, Saint Peters, MO 63303-5677 | 2006-05-05 |
| 1942260484 | Donna T. Thackrey | Pediatrics | 2740 S Highway 94, Suite A, Saint Peters, MO 63303-5609 | 2006-03-27 |
| 1972579654 | Angela M Jones | Pediatrics | 4200 N Cloverleaf Dr, Ste F, Saint Peters, MO 63376-6436 | 2006-02-23 |
| 1548234974 | Alla Dorfman | Pediatrics | 4200 N Cloverleaf Dr, Ste F, Saint Peters, MO 63376-6436 | 2006-02-14 |
| 1124092788 | Lorena Buffa | Pediatrics | 4200 N Cloverleaf Dr, Ste F, Saint Peters, MO 63376-6436 | 2006-02-13 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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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.