MR. STANLEY KASIMIR BRADSHAW IV MS
NPI 1215518840
Student in an Organized Health Care Education/Training Program in Stanford, CA
About Mr. Stanley Kasimir Bradshaw Iv Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. STANLEY KASIMIR BRADSHAW IV MS (NPI 1215518840) is an individual student in an organized health care education/training program in Stanford, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Stanley Kasimir Bradshaw Iv Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Stanley Bradshaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 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.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Stanley Bradshaw's NPI number?
The NPI number for Stanley Bradshaw is 1215518840. It was assigned to this individual provider in the NPPES registry on April 15, 2021. The provider is also known as Brad Bradshaw.
Where is Stanley Bradshaw located?
Stanley Bradshaw practices at 300 Pasteur Drive Lane 154, Stanford, CA 94305. The listed phone number is (650) 723-6661.
What is Stanley Bradshaw's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Stanley Bradshaw enrolled in Medicare?
Yes. Stanley Bradshaw is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stanley Bradshaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stanley Bradshaw reassigns Medicare benefits to 2 organizations: Stanford Health Care (Stanford, CA) and Lpch Medical Group Div Of Lucile (Palo Alto, CA). 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 Stanley Bradshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stanley Bradshaw was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Stanley Kasimir Bradshaw IV, MS · NPI 1215518840
Student in an Organized Health Care Education/Training Program provider in Stanford, California. Individual provider, active in the CMS NPPES registry since April 15, 2021.
## Identity
- **NPI:** 1215518840 (Entity type: Individual)
- **Enumerated:** April 15, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DRIVE, LANE 154, Stanford, CA 94305-5133
- **Phone:** (650) 723-6661 · **Fax:** (650) 498-6205
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Stanford Health Care (NPI 1437292927, Stanford, CA); Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Southwestern Medical School At Dallas, class of 2022
## Record status
- **NPPES last updated:** March 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1215518840) · Data from the CMS NPPES public registry.