MR. THOMAS BRICE BRADSHAW LPC
NPI 1255843850
Counselor - Professional in Chapel Hill, NC

Active since November 04, 2017Opted out of Medicare · through Jan 20, 2028
117 HIDDEN VALLEY DR, CHAPEL HILL, NC 27516(844) 345-2256(844) 345-2256 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Nov 4, 2017 (2 updates tracked since 2017).

About Mr. Thomas Brice Bradshaw Lpc NPPES

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

MR. THOMAS BRICE BRADSHAW LPC (NPI 1255843850) is an individual professional provider in Chapel Hill, North Carolina, licensed in North Carolina (11582) and active in the NPI registry since November 2017. He has opted out of Medicare through January 20, 2028.

NPPES Registry Identity

NPI1255843850
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. THOMAS BRICE BRADSHAWCredential: LPC
Location Address117 HIDDEN VALLEY DRChapel Hill, NC 27516-8949
Mailing Address117 Hidden Valley DrChapel Hill, NC 27516-8949 · (844) 345-2256 · Fax (844) 345-2256
Fax(844) 345-2256
Sole ProprietorNo
Enumeration DateNovember 4, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1255843850 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 NC · 11582
117 HIDDEN VALLEY DR, Chapel Hill, NC 27516

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Thomas Brice Bradshaw Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 20, 2026 through January 20, 2028.

Opt-Out Effective DateJanuary 20, 2026
Opt-Out In Effect ThroughJanuary 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
117 HIDDEN VALLEY DR
CHAPEL HILL, NC 27516
Psychiatry & Neurology (Child & Adolescent Psychiatry)
117 HIDDEN VALLEY DR
CHAPEL HILL, NC 27516
Psychiatry & Neurology (Psychiatry)
117 HIDDEN VALLEY DR
CHAPEL HILL, NC 27516
Social Worker (Clinical)
117 HIDDEN VALLEY DR
CHAPEL HILL, NC 27516
Preventive Medicine (Public Health & General Preventive Medicine)
117 HIDDEN VALLEY DR
CHAPEL HILL, NC 27516
Psychiatry & Neurology (Psychiatry)
117 HIDDEN VALLEY DR
CHAPEL HILL, NC 27516

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 Thomas Bradshaw's NPI number?

The NPI number for Thomas Bradshaw is 1255843850. It was assigned to this individual provider in the NPPES registry on November 4, 2017.

Where is Thomas Bradshaw located?

Thomas Bradshaw practices at 117 Hidden Valley Dr, Chapel Hill, NC 27516. The listed phone number is (844) 345-2256.

What is Thomas Bradshaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Thomas Bradshaw enrolled in Medicare?

No. Thomas Bradshaw has opted out of Medicare through January 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Thomas Bradshaw was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.