BRADLEY SHAW
NPI 1104229871
Counselor - Professional in Bryant, AR
About Bradley Shaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY SHAW (NPI 1104229871) is an individual professional provider in Bryant, Arkansas, licensed in Arkansas (P0002005) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bradley Shaw 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.
Medicare Billing Reassignments
2Medicare enrollment records show Bradley Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bryant, AR 72019
- Reassigned Medicare billing, Arkansas enrollment
- 46 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bradley Shaw's NPI number?
The NPI number for Bradley Shaw is 1104229871. It was assigned to this individual provider in the NPPES registry on October 8, 2014.
Where is Bradley Shaw located?
Bradley Shaw practices at 3708 Robinwood Cir, Bryant, AR 72022. The listed phone number is (501) 993-5465.
What is Bradley Shaw's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Bradley Shaw enrolled in Medicare?
Yes. Bradley Shaw 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.
Which organizations bill Medicare for Bradley Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Shaw reassigns Medicare benefits to 2 organizations: Arkansas Health Group (Bryant, AR) and We Psychiatric Services PLLC (Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradley Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bradley Shaw accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Bradley Shaw 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 Bradley Shaw was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Bradley Shaw · NPI 1104229871
Professional provider in Bryant, Arkansas. Individual provider, active in the CMS NPPES registry since October 8, 2014.
## Identity
- **NPI:** 1104229871 (Entity type: Individual)
- **Enumerated:** October 8, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** P0002005 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3708 ROBINWOOD CIR, Bryant, AR 72022-8374
- **Phone:** (501) 993-5465
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Arkansas Health Group (NPI 1871959874, Bryant, AR); We Psychiatric Services PLLC (NPI 1932174836, Little Rock, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** October 8, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1104229871) · Data from the CMS NPPES public registry.