Stace Todd Bradshaw (NPI# 1760472138, PAC ID# 9335183664) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1760472138 |
| PAC ID by PECOS | 9335183664 |
| Professional Enrollment ID | I20051116000310 |
| Full Name | Stace Todd Bradshaw |
| Organization Legal Name | SOUTHWEST MEDICAL IMAGING PA |
| Address |
7306 Marquette St Dallas TX 75225-4628 |
| Phone Number | 4325707011 |
| Gender | M |
| Credential | MD |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4688564586 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450133 | MIDLAND MEMORIAL HOSPITAL |
| 450132 | MEDICAL CENTER HOSPITAL |
| 450653 | SCENIC MOUNTAIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7306 Marquette St, Dallas, TX 75225-4628 | 4325707011 | SOUTHWEST MEDICAL IMAGING PA |
| 633 Gov Carlos Cmcho Rd, Suite 210 Gu Med Plza, Tamuning, GU 96913 | 6716491001 | GUAM X-RAY |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 61% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 87% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 23% |
| Organization Legal Name | SOUTHWEST MEDICAL IMAGING PA |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Giri R Sura | Diagnostic Radiology | Southwest Medical Imaging Pa | 7139 Isle Royal Ln, Irving, TX 75063-3564 |
| Jess J Dalehite | Diagnostic Radiology | Southwest Medical Imaging Pa | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 |
| Larry D Edwards | Diagnostic Radiology | Southwest Medical Imaging Pa | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 |
| Eric N Kinn | Diagnostic Radiology | Southwest Medical Imaging Pa | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 |
| Viet Nguyen | Diagnostic Radiology | Southwest Medical Imaging Pa | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 |
| Marlon Hughes | Diagnostic Radiology | Southwest Medical Imaging Pa | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 |
| Gina M Campagna | Diagnostic Radiology | Southwest Medical Imaging Pa | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 |
| Randolph T Leone | Diagnostic Radiology | Southwest Medical Imaging Pa | 4214 Andrews Hwy, Suite 103, Midland, TX 79703-4815 |
| Patricia Hughes | Diagnostic Radiology | Southwest Medical Imaging Pa | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 |
| Thomas J Cornell | Diagnostic Radiology | Southwest Medical Imaging Pa | 4214 Andrews Hwy, Suite 103, Midland, TX 79703-4815 |
| Street Address |
7306 MARQUETTE ST |
| City | DALLAS |
| State | TX |
| Zip | 75225-4628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wilson Weatherford | Internal Medicine | 7140 Lupton Dr, Dallas, TX 75225-1735 | |
| Kelli Marie Waters | Clinical Social Worker | Inspire Senior Care | 7831 Park Ln, Dallas, TX 75225-2000 |
| Rachel Rebecca Corley | Clinical Social Worker | Inspire Senior Care | 7831 Park Ln, Dallas, TX 75225-2000 |
| Amy L Abadia | Clinical Social Worker | Inspire Senior Care | 7831 Park Ln, Dallas, TX 75225-2000 |
| Liliana Haenner | Clinical Social Worker | Inspire Senior Care | 7831 Park Ln, Dallas, TX 75225-2000 |
| Melanie Clifford | Clinical Social Worker | Geriatric Psychological Care Pa | 7831 Park Ln, Dallas, TX 75225-2000 |
| Cynthia L Smith | Physical Medicine and Rehabilitation | 6247 Woodland Rd, Dallas, TX 75225-2838 | |
| William S Howard | Internal Medicine | 5710 Deloache Ave, Dallas, TX 75225-3001 | |
| Carl S Zayac | Emergency Medicine | Questcare Medical Services Pllc | 5974 W Northwest Hwy, Medical City Er Park Cities, Dallas, TX 75225-3202 |
| Stewart R Coffman | Emergency Medicine | Questcare Medical Services Pllc | 5974 W Northwest Hwy, Medical City Er Park Cities, Dallas, TX 75225-3202 |
| Find all physicians in zip 75225 | |||
| City | DALLAS |
| Zip Code | 75225 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | DALLAS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Stace Todd Bradshaw.
| 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.