DR. SAMUEL LEE BRADSHAW (NPI# 1700225042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700225042 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL LEE BRADSHAW |
| Credential | M.D. |
| Practice Address |
20833 Long Branch Dr Cottonwood CA 96022-8701 |
| Mailing Address |
2450 Sister Mary Columba Dr Red Bluff CA 96080-4356 |
| Practice Telephone | 5303473418 |
| Mailing Telephone | 5305270414 |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2019-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A161202 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 191256 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770808024 | Samuel Cody Bradshaw | Counselor | 9445 Farnham St, San Diego, CA 92123-1308 | 2010-03-30 |
| Street Address |
20833 LONG BRANCH DR |
| City | COTTONWOOD |
| State | CA |
| Zip Code | 96022-8701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649366691 | Linette Cristine Calvo | Emergency Medicine | 20833 Long Branch Dr, Cottonwood, CA 96022-8701 | 2006-10-05 |
| 1235672403 | Dignity Health | Clinic/Center | 20833 Long Branch Dr, Cottonwood, CA 96022-8701 | 2016-11-21 |
| 1528411873 | Pacific Central Coast Health Centers | Clinic/Center | 20833 Long Branch Dr, Cottonwood, CA 96022-8701 | 2016-07-21 |
| 1740626472 | Helen Yongao Williams | Nurse Practitioner | 20833 Long Branch Dr, Cottonwood, CA 96022-8701 | 2013-05-21 |
| 1598053506 | Romeo Arcega Abaya Jr. | Family Medicine | 20833 Long Branch Dr, Lassen Medical Group Inc, Cottonwood, CA 96022-8701 | 2011-07-12 |
| 1083934855 | Lena Bharat Jesrani | Nurse Practitioner | 20833 Long Branch Dr, Cottonwood, CA 96022-8701 | 2010-06-03 |
| 1306971148 | Donna Holscher | Family Medicine | 20833 Long Branch Dr, Cottonwood, CA 96022-8701 | 2007-02-22 |
| 1689713505 | Lassen Medical Group Inc | Family Medicine | 20833 Long Branch Dr, Cottonwood, CA 96022-8701 | 2007-02-06 |
| 1972692861 | Dennis Eugene Oakes | Physician Assistant | 20833 Long Branch Dr, Cottonwood, CA 96022-8701 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891348975 | Norcal Transit LLC | Driver | 20979 Second St., Cottonwood, CA 96022 | 2019-07-18 |
| 1154829224 | Cottonwood Dental Care | Dentist | 3251 Chestnut Street, Cottonwood, CA 96022 | 2018-01-24 |
| 1285146449 | Deborah Bainbridge | Pharmacist | 20635 Gas Point Road, P.o. Box 588, Cottonwood, CA 96022 | 2017-10-27 |
| 1619199650 | Trina Christine Aultman | Specialist/Technologist | 20724 Second St, #b, Cottonwood, CA 96022 | 2007-05-02 |
| 1316087380 | Cottonwood Union School District | Local Education Agency (LEA) | 20512 W. First Street, Cottonwood, CA 96022 | 2007-02-07 |
| 1982637203 | Thomas Steven Reuss | Physical Therapist | 3254 Main Street, Cottonwood, CA 96022 | 2006-07-09 |
| 1114974797 | Pharmacy Alternatives California, LLC | Durable Medical Equipment & Medical Supplies | 20635 Gas Point Rd, Cottonwood, CA 96022 | 2006-05-28 |
| 1780658252 | North Valley Developmental Services Inc. | Intermediate Care Facility, Mentally Retarded | 20701 Gatchett Ln, Cottonwood, CA 96022 | 2006-02-14 |
| 1679718555 | Cornerstone Physical Therapy | Physical Therapist | 3254 Main Street, Cottonwood, CA 96022 | 2008-12-08 |
| 1104965870 | John P Cavellini | Dentist | 3435 Main St, Cottonwood, CA 96022 | 2007-02-06 |
| Find all providers in zip 96022 | ||||
| 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 |
|---|---|---|---|---|
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1407928401 | William C Stonecipher | Family Medicine | 203 S Candy Ln Ste 13a, Cottonwood, AZ 86326-8113 | 2006-11-14 |
| 1497851067 | Malcolm Wilkinson, Md | Family Medicine | 300 S Willard St, Ste 101, Cottonwood, AZ 86326-4159 | 2006-09-14 |
| 1578585519 | Juneau D Stump Jr Md PC | Family Medicine | 18 E Beech St, Cottonwood, AZ 86326-4134 | 2006-07-25 |
| 1790722643 | Curtis G Kommer | Family Medicine | 651 W Mingus Ave, Cottonwood, AZ 86326-4006 | 2006-05-31 |
| 1568454353 | Cottonwood Medical Group | Family Medicine | 20633 Gas Point Rd, Cottonwood, CA 96022-9296 | 2005-08-17 |
| 1336146059 | Marvin L Colvin | Family Medicine | 753 N Main St, Ste. A, Cottonwood, AZ 86326-3649 | 2005-07-07 |
| 1316940232 | Haley J Minnehan | Family Medicine | 701 Lewiston St, Cottonwood, ID 83522-9750 | 2005-05-24 |
| 1740283555 | Andrew F Jones | Family Medicine | 1775 Keuterville Road, Cottonwood, ID 83522-9750 | 2005-05-24 |
| Find all providers in COTTONWOOD | ||||
| City | COTTONWOOD |
| Zip Code | 96022 |
Please comment or provide details below to improve the information on DR. SAMUEL LEE 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.