DR. KEVIN C. BRADSHAW (NPI# 1972663888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972663888 |
| Entity Type | Individual |
| Full Name | DR. KEVIN C. BRADSHAW |
| Credential | D.P.M. |
| Practice Address |
519 Peabody St Ne Washington DC 20011-1647 |
| Practice Telephone | 2022851465 |
| Practice Fax Number | 2026352305 |
| Mailing Telephone | 2022851465 |
| Mailing Fax Number | 2026352305 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO526 | DC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 0115995 00 | 05 | |
| MEDICARE/RAILROAD PIN | 48002901 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922408632 | Kevin Bradshaw | Chiropractor | 4331 Old Hickory Blvd Ste C, Old Hickory, TN 37138-2082 | 2014-08-29 |
| 1730169012 | Kevin Bradshaw | Social Worker | 620 John Paul Jones Cir, Code-1121, Portsmouth, VA 23708-2111 | 2006-01-20 |
| Street Address |
519 PEABODY ST NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20011-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999239 | Anna Gwanyama | Licensed Practical Nurse | 6120 Kansas Avenue Northwest, Washington D.c, DC 20011 | 2020-10-16 |
| 1861005399 | Christine Jokisch | Social Worker | 33rd Riggs Rd Ne, Washington, DC 20011 | 2020-08-25 |
| 1407403645 | Allied Healthcare Group LLC | Home Health | 6120 Kansas Ave, Nw, 1st Floor, A, Washington, DC 20011 | 2019-08-22 |
| 1871146548 | Bernice Mccallum | Technician | 1336 Missouri Ave. N.w #321, Washington, DC 20011 | 2019-07-22 |
| 1114586484 | District Urgent Care Professional Corporation | Clinic/Center | 4903-b Georgia Av, Washington, DC 20011 | 2019-06-11 |
| 1053978908 | Aminata U Nabie | Licensed Practical Nurse | 6120 Kansas Ave., Nw, Washington, DC 20011 | 2019-05-28 |
| 1831656768 | Prudence Dakam Siewe | Home Health Aide | 931 Longfellow St Nw, 311, Washington, DC 20011 | 2019-02-27 |
| 1750858304 | Hilary Lauren Kulig | Counselor | 100 Galentine St. Ne, Washington, DC 20011 | 2018-10-31 |
| 1154807444 | Emebet Dessalgn Atnaw | Home Health Aide | 6040 13th Pl Nw Apt 306, Washington, DC 20011 | 2018-07-19 |
| 1881185213 | Quality One Care Home Health Inc. | Home Health | 143 Kennedy St Nw Ste 14, Washington, DC 20011 | 2018-05-22 |
| Find all providers in zip 20011 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861868556 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1720 Eye St Nw, Suite 402, Washington, DC 20006-3704 | 2015-08-17 |
| 1902224959 | Ijeoma Nwuju | Podiatrist | 1160 Varnum St Ne Ste 200, Washington, DC 20017-2106 | 2014-04-06 |
| 1972872414 | Primary Podiatric Medicine Care Center | Podiatrist | 1874 W Chestnut St, Washington, PA 15301-2638 | 2011-12-28 |
| 1609180207 | Lynda Terry-choyke | Podiatrist | 1722 Eye Streets Nw, Department of Veterans Affairs - Appeals Management Cen, Washington, DC 20421 | 2010-08-06 |
| 1336375922 | Lennie Michele Peters | Podiatrist | 1008 Hamlin St Ne, Washington, DC 20017-3422 | 2009-06-09 |
| 1023224540 | Andrew Lewis Carver | Podiatrist | 1040 17th Street Nw, Washington, DC 20036 | 2007-05-14 |
| 1730394958 | Howard David Rome | Podiatrist | 1700 Connecticut Ave, Washington, DC 20009 | 2007-05-11 |
| 1851518393 | Ainsley Roberson Rusevlyan | Podiatrist | 114 Avon Ave, Washington, NC 27889-3841 | 2007-04-19 |
| 1306916135 | Cynthia Belle Hatfield | Podiatrist | 40 Wilson Ave, Washington, PA 15301 | 2006-11-09 |
| 1336219591 | Adam David Grossman | Podiatrist | 27 E Maiden St, Washington, PA 15301-4941 | 2006-11-08 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20011 |
Please comment or provide details below to improve the information on DR. KEVIN C. 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.