William L Bradshaw Jr. (NPI# 1649204918, PAC ID# 8729970512) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1649204918 |
| PAC ID by PECOS | 8729970512 |
| Professional Enrollment ID | I20110330000303 |
| Full Name | William L Bradshaw Jr. |
| Organization Legal Name | POTOMAC SQUARE FAMILY MEDICINE LLC |
| Address |
4800 Baseline Rd Boulder CO 80303-2643 |
| Phone Number | 3034990176 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1557333465 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061303 | EAST MORGAN COUNTY HOSPITAL |
| 140080 | PRESENCE SAINT FRANCIS HOSPITAL |
| 140224 | PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO |
| Address | Phone | Organization |
|---|---|---|
| 4800 Baseline Rd, Boulder, CO 80303-2643 | 3034990176 | POTOMAC SQUARE FAMILY MEDICINE LLC |
| 4800 Baseline Rd, Suite D106, Boulder, CO 80303-2643 | 3034990176 | POTOMAC SQUARE FAMILY MEDICINE LLC |
| 909 E Railroad Ave, Fort Morgan, CO 80701-3301 | 9705424700 | BANNER HEALTH PHYSICIANS COLORADO LLC |
| Organization Legal Name | POTOMAC SQUARE FAMILY MEDICINE LLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Lashley | Physical Therapy | Potomac Square Family Medicine LLC | 730 W Hampden Ave, Englewood, CO 80110-2120 |
| Jovan Mack | Nurse Practitioner | Potomac Square Family Medicine LLC | 605 Parfet St, Suite 103, Lakewood, CO 80215-5518 |
| Lisa E Hawkins | Nurse Practitioner | Potomac Square Family Medicine LLC | 20270 E Smoky Hill Rd, Centennial, CO 80015-3138 |
| Carlos F Vera | Family Medicine | Potomac Square Family Medicine LLC | 6080 W 92nd Ave, Suite 1000, Westminster, CO 80031-2935 |
| Rachel A Bos | Family Medicine | Potomac Square Family Medicine LLC | 805 S Broadway St, Suite 103, Boulder, CO 80305-5972 |
| Leslie W Reitman | Internal Medicine | Potomac Square Family Medicine LLC | 13650 E Mississippi Ave, Aurora, CO 80012-3561 |
| John E Marquez | Physician Assistant | Potomac Square Family Medicine LLC | 13650 E Mississippi Ave, Aurora, CO 80012-3561 |
| Jeromy G Wilson | Physician Assistant | Potomac Square Family Medicine LLC | 13650 E Mississippi Ave, Aurora, CO 80012-3561 |
| Mackenzie A Courtney | Nurse Practitioner | Potomac Square Family Medicine LLC | 13650 E Mississippi Ave, Aurora, CO 80012-3561 |
| Jeffrey R Mills | Physical Therapy | Potomac Square Family Medicine LLC | 13650 E Mississippi Ave, Aurora, CO 80012-3561 |
| Street Address |
4800 BASELINE RD |
| City | BOULDER |
| State | CO |
| Zip | 80303-2643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brennan Lynn Mars | Psychologist, Clinical | 4800 Baseline Rd, E104, Boulder, CO 80303-2643 | |
| Jasmine Marie Wells | Physician Assistant | Rocky Mountain Urgent Care,llc | 4800 Baseline Rd, Suite D106, Boulder, CO 80303-2643 |
| Kirsten A Horner | Qualified Audiologist | Whitney Swander Audiology, Inc | 4800 Baseline Rd, E108 Hearing Healthcare Centers, Boulder, CO 80303-2643 |
| Whitney L Swander | Qualified Audiologist | Whitney Swander Audiology, Inc | 4800 Baseline Rd, E108 Hearing Healthcare Centers, Boulder, CO 80303-2643 |
| Paul A Berger | Family Practice | Potomac Square Family Medicine LLC | 4800 Baseline Rd, Suite D106, Boulder, CO 80303-2643 |
| Jeff S Ritchie | Nurse Practitioner | Rocky Mountain Urgent Care PC | 4800 Baseline Rd, Boulder, CO 80303-2643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine L Johnston | Psychologist, Clinical | 4141 Arapahoe Ave, Suite 201, Boulder, CO 80303-1032 | |
| Jill L Siegfried | Family Medicine | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Christopher R Pohlman | General Surgery | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Karin N Susskind | Family Medicine | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Laurie Anne Rodenberg | Certified Nurse Midwife (cnm) | Boulder Community Health | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1082 |
| Heather M Bright-hoffmeyer | Obstetrics/gynecology | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Shawn Denham | Qualified Audiologist | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Bettina L Willuhn | Physician Assistant | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Jeremiah Eric Mcnamara | Obstetrics/gynecology | Boulder Community Health | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1082 |
| Christine C Hansen | Obstetrics/gynecology | 4745 Arapahoe Ave, Suite 110, Boulder, CO 80303-1082 | |
| Find all physicians in zip 80303 | |||
| City | BOULDER |
| Zip Code | 80303 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | BOULDER + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.