KENNETH GERARD BRADSHAW (NPI# 1932182615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932182615 |
| Entity Type | Individual |
| Full Name | KENNETH GERARD BRADSHAW |
| Credential | D.O. |
| Practice Address |
19 Friendship St Family Physicians of Newport, Suite 130 Newport RI 02840-2272 |
| Mailing Address |
275 Broadway Nhcc Medical Associates, Unit 2 Newport RI 02840-2612 |
| Practice Telephone | 4018452113 |
| Mailing Telephone | 4018451473 |
| Enumeration Date | 2005-11-27 |
| Last Update Date | 2013-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 158732 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | KB 91558 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225157977 | Kenneth Wayne Bradshaw | Dentist | 11211 Prosperity Farms Rd, B107, Palm Beach Gardens, FL 33410-3446 | 2007-03-27 |
| 1134197924 | Kenneth Bradshaw | Podiatrist | 1602 N 2nd St, Clinton, MO 64735-1192 | 2006-03-09 |
| Street Address |
19 FRIENDSHIP ST FAMILY PHYSICIANS OF NEWPORT, SUITE 130 |
| City | NEWPORT |
| State | RI |
| Zip Code | 02840-2272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146562 | William D. Levin | Family Medicine | 19 Friendship St, Suite 130, Newport, RI 02840-2200 | 2005-07-01 |
| 1730625807 | Kathryn Ann Mitchell | Physician Assistant | 19 Friendship St, Suite 130, Newport, RI 02840-2272 | 2017-01-13 |
| 1649662107 | Jana Paige Magarian | Nurse Practitioner | 19 Friendship St, Newport, RI 02840-2272 | 2015-02-20 |
| 1821416637 | Preston W Douglas | Psychiatry & Neurology | 19 Friendship St, Newport, RI 02840-2272 | 2014-03-31 |
| 1487911582 | Wei Song | Psychiatry & Neurology | 19 Friendship St, Newport, RI 02840-2272 | 2012-04-13 |
| 1548549900 | Spinal Therapeutics, LLC | Clinic/Center | 19 Friendship St, Ste G50, Newport, RI 02840-2200 | 2011-08-16 |
| 1073833257 | James Studders | Specialist | 19 Friendship St, Newport, RI 02840-2200 | 2010-06-10 |
| 1225364284 | Rachel Del Rosario | Physical Therapist | 19 Friendship St, Suite 160, Newport, RI 02840-2200 | 2009-10-27 |
| 1639404635 | Provident Pain and Wellness Clinic | Anesthesiology | 19 Friendship St, Suite 160, Newport, RI 02840-2200 | 2009-10-08 |
| 1508011420 | Gay B. Ben Tre | Registered Nurse | 19 Friendship St, Suite 300, Newport, RI 02840-2200 | 2008-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993465 | Jacquelene Henderson | Counselor | 1341 West Main Road, Suite 16, Newport, RI 02840 | 2018-12-12 |
| 1619406683 | Lauren A Mcgovern | Social Worker | 8 Freebody St Ste 101, Newport, RI 02840 | 2017-06-05 |
| 1922388289 | Newport Family Foot Care, LLC | Podiatrist | 329 Broadway, Newport, RI 02840 | 2011-08-18 |
| 1578867255 | Nora K Griscom | Social Worker | 130 Bellevue Ave Ste 214, Newport, RI 02840 | 2011-01-10 |
| 1528200326 | Jessica Marie Welsh | Speech-Language Pathologist | 10 Friendship Street, Newport, RI 02840 | 2009-03-25 |
| 1023139037 | Elizabeth J Hayes | Counselor | Codac Inc, 93 Thames St, Newport, RI 02840 | 2007-04-03 |
| 1265551105 | Richatd Stengel | Dentist | East Bay Community Action Program, 19 Broadway, Newport, RI 02840 | 2007-03-29 |
| 1235262346 | Jon E Brett | Psychologist | 37 Powel Avenue, Newport, RI 02840 | 2007-03-14 |
| 1710018668 | James L Maher Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 120 Hillside Ave, Newport, RI 02840 | 2007-03-09 |
| 1285760736 | John Louis Salomone | Dentist | 73 Memorial Blvd, Newport, RI 02840 | 2007-02-26 |
| Find all providers in zip 02840 | ||||
| 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 |
|---|---|---|---|---|
| 1144859802 | Virginia Revill | Family Medicine | 1586 Depaul Rd, Newport, TN 37821-6280 | 2020-04-05 |
| 1285164145 | Lesli Ashten Anderson | Family Medicine | 1200 Mclain St Ste B, Newport, AR 72112-3550 | 2017-06-14 |
| 1346552148 | Virgincita Fuentes Rodriguez | Family Medicine | 2000 Mclain St Ste B, Newport, AR 72112-3661 | 2010-07-08 |
| 1336379569 | Anna Hehl-bisson | Family Medicine | 3132 Newport Rd, North Park Plaza, Newport, MI 48166-6100 | 2009-07-22 |
| 1891935151 | Oakwood Ambulatory, LLC | Family Medicine | 3132 Newport, Suite 107, Newport, MI 48166 | 2009-02-26 |
| 1518081520 | Rachel Beth Disanto | Family Medicine | 81 Medical Village Dr Ste 1, Family Practice of Newport, Newport, VT 05855-9897 | 2007-03-16 |
| 1891834719 | Safe Harbour Family Care | Family Medicine | 129 Chatham St, Newport, NC 28570 | 2007-02-06 |
| 1366515249 | Thomas Ae Moseley | Family Medicine | 121 Medical Village Drive, Newport, VT 05855 | 2006-11-16 |
| 1871688499 | Denise Aileen Niemira | Family Medicine | 5452 U.S. Rt. 5, Ste. D, Newport, VT 05855 | 2006-10-03 |
| 1790885838 | Allegra L Shumway | Family Medicine | 79 Coventry St, Newport, VT 05855-2206 | 2006-09-25 |
| Find all providers in NEWPORT | ||||
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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.