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BRADLEY SHAW
NPI 1104229871
Counselor - Professional in Bryant, AR

Active since October 08, 2014PECOS EnrolledAccepts Medicare Assignment
3708 ROBINWOOD CIR, BRYANT, AR 72022(501) 993-5465 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1104229871
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRADLEY SHAW
Location Address3708 ROBINWOOD CIRBryant, AR 72022-8374
Mailing Address3708 Robinwood CirBryant, AR 72022-8374 · (501) 993-5465
Phone(501) 993-5465
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 8, 2014
✔ NPI 1104229871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P0002005
3708 ROBINWOOD CIR, Bryant, AR 72022
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

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.

PECOS PAC ID2860837366
PECOS Enrollment IDI20240223002245
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.

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.

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 11 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.