MR. DAVID R BRADSHAW (NPI# 1740517937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740517937 |
| Entity Type | Individual |
| Full Name | MR. DAVID R BRADSHAW |
| Practice Address |
1892 West Memorial Hwy. Union Grove NC 28689-9049 |
| Mailing Address |
P.o. Box 103 Union Grove NC 28689-0103 |
| Practice Telephone | 7045394445 |
| Practice Fax Number | 7045394663 |
| Mailing Telephone | 7045394445 |
| Mailing Fax Number | 7045394663 |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7703861 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841327749 | David Bradshaw | Social Worker | 14913 Cooper Orbit Rd, Little Rock, AR 72223-3903 | 2007-02-27 |
| 1821066788 | David C Bradshaw | Obstetrics & Gynecology | 280 N Hospital Dr Ste 2, Price, UT 84501-4211 | 2006-03-08 |
| 1811990468 | David C Bradshaw | Physical Medicine & Rehabilitation | 19830 Lake Chabot Rd, Ste C, Castro Valley, CA 94546-4063 | 2005-05-27 |
| 1316421639 | David Bradshaw | Counselor | 1100 S 2nd St, Mount Vernon, WA 98273-4209 | 2018-09-21 |
| 1134426315 | David Lamar Bradshaw | Pathology | 809 Sw 89th St, Ste. C, Oklahoma City, OK 73139-9360 | 2011-02-23 |
| 1093890782 | David R Bradshaw | Psychologist | 14569 Grand Ave, Suite 200, Burnsville, MN 55306-5729 | 2006-10-25 |
| 1104897800 | David A. Bradshaw | Internal Medicine | 34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098 | 2006-01-30 |
| Street Address |
1892 WEST MEMORIAL HWY. |
| City | UNION GROVE |
| State | NC |
| Zip Code | 28689-9049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295062487 | Max D. Bradshaw | Orthotic Fitter | 1892 West Memorial Hwy., Union Grove, NC 28689-9049 | 2009-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841834165 | Rachel Gatz | Speech-Language Pathologist | 1005 Union Grove Rd, Union Grove, NC 28689 | 2019-10-30 |
| 1043437221 | Timothy R Burgiss | Dentist | 951 West Memorial Highway, Tri County Medical Park, Union Grove, NC 28689 | 2007-04-19 |
| 1730229253 | National Med Source | Durable Medical Equipment & Medical Supplies | 1726 Memorial Highway, Suite B, Union Grove, NC 28689-0103 | 2007-02-07 |
| 1265502439 | National Med Source LLC | Durable Medical Equipment & Medical Supplies | 1892 West Memorial Hwy, Union Grove, NC 28689-9049 | 2006-11-08 |
| 1750618948 | Ethel Ruth Bradshaw | Orthotic Fitter | 1892 West Memorial Hwy, Union Grove, NC 28689-9049 | 2009-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841834165 | Rachel Gatz | Speech-Language Pathologist | 1005 Union Grove Rd, Union Grove, NC 28689 | 2019-10-30 |
| 1770134843 | Cory Harpe | Technician | 23338 18th St., Union Grove, WI 53182 | 2019-09-20 |
| 1316409501 | Valerie Buisse | Counselor | 4330 Conifer Ct, Union Grove, WI 53182-9751 | 2019-04-05 |
| 1912484494 | Dustin Andrew Svendsen | Homemaker | 1344 Jean St, Union Grove, WI 53182-1402 | 2018-07-26 |
| 1477089415 | Mary Lenz | Student in an Organized Health Care Education/Training Program | 951 Main St Ste 100, Union Grove, WI 53182-1074 | 2017-05-11 |
| 1962959254 | Linda Ratkovec | Licensed Practical Nurse | 21437 Northcape St, Union Grove, WI 53182-9691 | 2016-09-05 |
| 1407209109 | Shepherds Baptist Ministries Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1805 15th Ave, Union Grove, WI 53182-1527 | 2016-07-18 |
| 1528414604 | Allison Epping | Specialist/Technologist | 4214 67th Dr, Union Grove, WI 53182-9405 | 2016-05-09 |
| 1770956211 | Melissa Malave | Psychologist | 21425 Spring St # A, Psychological Services, Union Grove, WI 53182-9707 | 2015-11-05 |
| 1477925121 | Michael Joseph Gillen | Psychologist | 21425 Spring Street, Union Grove Va Clinic, Union Grove, WI 53182 | 2015-10-21 |
| Find all providers in UNION GROVE | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295062487 | Max D. Bradshaw | Orthotic Fitter | 1892 West Memorial Hwy., Union Grove, NC 28689-9049 | 2009-11-09 |
| 1750618948 | Ethel Ruth Bradshaw | Orthotic Fitter | 1892 West Memorial Hwy, Union Grove, NC 28689-9049 | 2009-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821553355 | Danielle Douglas | Orthotic Fitter | 2260 S Church St Ste 601, Burlington, NC 27215-5380 | 2019-02-08 |
| 1093279838 | Latisha Barnes | Orthotic Fitter | M04 Davison Building, Durham, NC 27710-0001 | 2019-01-25 |
| 1386113868 | Melissa Meares | Orthotic Fitter | 1473 Duckworth St, Morganton, NC 28655-9381 | 2018-11-14 |
| 1700389657 | Taylor Kathryn Raines | Orthotic Fitter | 325 Page Rd N Ste 3, Pinehurst, NC 28374-0088 | 2018-03-16 |
| 1588101307 | Barbara C Hudnell | Orthotic Fitter | 223 Bungalow Dr, New Bern, NC 28562-8454 | 2017-01-31 |
| 1558735118 | Lewis Bell | Orthotic Fitter | 1004b W Cumberland St, Dunn, NC 28334-4716 | 2015-11-19 |
| 1033595707 | Mark R Chapman Jr. | Orthotic Fitter | 10931 E Independence Blvd Ste M, Matthews, NC 28105-5057 | 2015-08-05 |
| 1740672328 | Angeline Reiling | Orthotic Fitter | 2680 Henderson Dr Ste 3, Jacksonville, NC 28546 | 2015-02-19 |
| 1053658757 | Wendy Carter | Orthotic Fitter | 8320 Bon Rea Dr, Charlotte, NC 28226 | 2013-01-15 |
| 1164798054 | Betty J Powell | Orthotic Fitter | 1800 Parkwood Blvd W, Suite A, Wilson, NC 27893-3566 | 2012-03-26 |
| Find all providers with the same taxonomy | ||||
| City | UNION GROVE |
| Zip Code | 28689 |
Please comment or provide details below to improve the information on MR. DAVID R 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.