EDWARD WILLARD BRADSHAW III PA-C
NPI 1235192774
Physician Assistant - Surgical in Lake Havasu City, AZ

Active since April 07, 2006
72 LAKE HAVASU AVE S STE 102, LAKE HAVASU CITY, AZ 86403(928) 453-2211(928) 453-2213 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2020, Jun 21, 2017 (2 updates tracked since 2017).

About Edward Willard Bradshaw Iii Pa-c NPPES

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

EDWARD WILLARD BRADSHAW III PA-C (NPI 1235192774) is an individual surgical provider in Lake Havasu City, Arizona, licensed in Arizona (5357) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1235192774
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameEDWARD WILLARD BRADSHAW IIICredential: PA-C
Location Address72 LAKE HAVASU AVE S STE 102Lake Havasu City, AZ 86403-0857
Mailing Address72 Lake Havasu Ave S Ste 102Lake Havasu City, AZ 86403-0857 · (928) 453-2211 · Fax (928) 453-2219
Fax(928) 453-2213
Sole ProprietorNo
Enumeration DateApril 7, 2006
Last NPPES UpdateJune 29, 20202 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
NPI 1235192774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in AZ · 5357 Licensed in FL · PA2576
72 LAKE HAVASU AVE S STE 102, Lake Havasu City, AZ 86403

Other Identifiers 3

Medicaid040403AZ
Medicaid291637100FL
OtherP00221346Railroad Medicare

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
71%474 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
64%474 patients3/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
29%474 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Neurological Surgery
72 LAKE HAVASU AVE S STE 102
LAKE HAVASU CITY, AZ 86403
Neurological Surgery
72 LAKE HAVASU AVE S STE 102
LAKE HAVASU CITY, AZ 86403
Neurological Surgery
72 LAKE HAVASU AVE S STE 102
LAKE HAVASU CITY, AZ 86403

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 Edward Bradshaw's NPI number?

The NPI number for Edward Bradshaw is 1235192774. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Edward Bradshaw located?

Edward Bradshaw practices at 72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-2211.

What is Edward Bradshaw's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Edward Bradshaw was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.