DAVID R BRADSHAW MED, LP
NPI 1093890782
Psychologist in Burnsville, MN

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
14569 GRAND AVE, SUITE 200, BURNSVILLE, MN 55306(952) 892-7690(952) 898-4930 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David R Bradshaw Med, Lp NPPES

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

DAVID R BRADSHAW MED, LP (NPI 1093890782) is an individual psychologist in Burnsville, Minnesota, licensed in Minnesota (LP3945) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1093890782
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDAVID R BRADSHAWCredential: MED, LP
Location Address14569 GRAND AVE, SUITE 200Burnsville, MN 55306-5729
Mailing Address14569 Grand Ave, Suite 200Burnsville, MN 55306-5729 · (952) 892-7690 · Fax (952) 898-4930
Fax(952) 898-4930
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093890782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP3945
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
14569 GRAND AVE, Burnsville, MN 55306

Accepted Insurance

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

David R Bradshaw Med, Lp 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 ID2860646924
PECOS Enrollment IDI20240208003696
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.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
14569 GRAND AVE
BURNSVILLE, MN 55306

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 David Bradshaw's NPI number?

The NPI number for David Bradshaw is 1093890782. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is David Bradshaw located?

David Bradshaw practices at 14569 Grand Ave Suite 200, Burnsville, MN 55306. The listed phone number is (952) 892-7690.

What is David Bradshaw's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is David Bradshaw enrolled in Medicare?

Yes. David 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.

What insurance does David Bradshaw accept?

Health plans from HealthPartners list David Bradshaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Bradshaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.