DEVIN BRADSHAW DO
NPI 1104445311
Internal Medicine - Pulmonary Disease in Las Vegas, NV

Q: What is Devin Bradshaw's NPI number?

The NPI number for Devin Bradshaw is 1104445311. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Q: What is Devin Bradshaw's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Devin Bradshaw was last updated on April 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 09, 2020PECOS Enrolled

620 SHADOW LN, LAS VEGAS, NV 89106(702) 477-6572 Get Directions Write a Review

NPPES record last updated: April 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2026, Mar 27, 2026, Jan 30, 2023 and 1 more (4 updates tracked since 2020).

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About Devin Bradshaw Do NPPES

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

DEVIN BRADSHAW DO (NPI 1104445311) is an individual pulmonary disease provider in Las Vegas, Nevada, licensed in Nevada (DO3290) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104445311

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDEVIN BRADSHAWCredential: DO

Location Address620 SHADOW LNLas Vegas, NV 89106-4119

Mailing Address620 Shadow LnLas Vegas, NV 89106-4119

Phone(702) 477-6572

Sole ProprietorNo

Enumeration DateApril 9, 2020

Last NPPES UpdateApril 11, 20264 updates tracked since enumeration

NPPES CertifiedApril 11, 2026

✔ NPI 1104445311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NV · DO3290

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License DO3290 (NV)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License DO3290 (NV)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

620 SHADOW LN, Las Vegas, NV 89106

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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 (PECOS)

Devin Bradshaw Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 89106 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

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier27 claims27 services$15.00 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier27 claims27 services$66.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

JANN STACEY PICKENS NP

Nurse Practitioner