BERTINA BRADSHAW
NPI 1043593809
Clinic/Center - Rehabilitation, Substance Use Disorder in Elmira, NY

Q: What is Bertina Bradshaw's NPI number?

The NPI number for Bertina Bradshaw is 1043593809. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Q: What is Bertina Bradshaw's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Q: When was this NPI record last updated?

The NPPES record for Bertina Bradshaw was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 27, 2011

571 ST. JOSEPH'S BLVD., SUITE 102, ELMIRA, NY 14901(607) 737-5215 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bertina Bradshaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERTINA BRADSHAW (NPI 1043593809) is an individual rehabilitation, substance use disorder provider in Elmira, New York, licensed in New York (161039939) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1043593809

Entity TypeIndividualFemale

Primary Taxonomy261QR0405X

Provider Legal NameBERTINA BRADSHAW

Location Address571 ST. JOSEPH'S BLVD., SUITE 102Elmira, NY 14901-3230

Mailing Address571 St. Joseph's Blvd., Suite 102Elmira, NY 14901-3230

Phone(607) 737-5215

Sole ProprietorYes

Enumeration DateSeptember 27, 2011

✔ NPI 1043593809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

License✔ Licensed in NY · 161039939

571 ST. JOSEPH'S BLVD., Elmira, NY 14901

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Other Identifiers 1

Medicaid1023054376NY

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY KATHRYN MILLER RN

Registered Nurse

571 ST. JOSEPH'S BLVD., SUITE 102
ELMIRA, NY 14901

Chemung County (607) 737-5215

MR. JAMES M SONSIRE M.S., AUD.

Audiologist-Hearing Aid Fitter

571 ST. JOSEPH'S BLVD.
ELMIRA, NY 14901

Chemung County (607) 795-8100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bertina Bradshaw's NPI number?

The NPI number for Bertina Bradshaw is 1043593809. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Where is Bertina Bradshaw located?

Bertina Bradshaw practices at 571 St. Joseph's Blvd. Suite 102, Elmira, NY 14901. The listed phone number is (607) 737-5215.

What is Bertina Bradshaw's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Bertina Bradshaw was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.