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TREVIN LAIN BRADSHAW
NPI 1063381705
Nurse Practitioner - Family in Sanger, TX

Active since October 31, 2025PECOS EnrolledAccepts Medicare Assignment
500 S STEMMONS ST, SANGER, TX 76266(940) 302-3042 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Trevin Lain Bradshaw NPPES

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

TREVIN LAIN BRADSHAW (NPI 1063381705) is an individual family provider in Sanger, Texas, licensed in Texas (1216645) and active in the NPI registry since October 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063381705
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NameTREVIN LAIN BRADSHAW
Location Address500 S STEMMONS STSanger, TX 76266-3223
Mailing Address500 S Stemmons StSanger, TX 76266-3223
Phone(940) 302-3042
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1063381705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1216645
500 S STEMMONS ST, Sanger, TX 76266
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Trevin Lain Bradshaw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193216299
PECOS Enrollment IDI20251117003432
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76266 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Trevin Bradshaw's NPI number?

The NPI number for Trevin Bradshaw is 1063381705. It was assigned to this individual provider in the NPPES registry on October 31, 2025.

Where is Trevin Bradshaw located?

Trevin Bradshaw practices at 500 S Stemmons St, Sanger, TX 76266. The listed phone number is (940) 302-3042.

What is Trevin Bradshaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Trevin Bradshaw enrolled in Medicare?

Yes. Trevin Bradshaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Trevin Bradshaw was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.