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BRENDA BRADSHAW NP
NPI 1376303420
Nurse Practitioner - Psychiatric/Mental Health in Byron, GA

Active since March 19, 2024PECOS EnrolledAccepts Medicare Assignment
164 RED OAK RD, BYRON, GA 31008(229) 977-1171 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenda Bradshaw Np NPPES

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

BRENDA BRADSHAW NP (NPI 1376303420) is an individual psychiatric/mental health provider in Byron, Georgia, licensed in Georgia (212998) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376303420
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBRENDA BRADSHAWCredential: NP
Location Address164 RED OAK RDByron, GA 31008-6303
Mailing Address164 Red Oak RdByron, GA 31008-6303 · (229) 977-1171
Phone(229) 977-1171
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 19, 2024
Last NPPES UpdateMay 28, 2025
NPPES CertifiedMay 28, 2025
✔ NPI 1376303420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · 212998
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN212998 (GA)
164 RED OAK RD, Byron, GA 31008
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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 and accepts Medicare assignment

Brenda Bradshaw Np 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 ID2860901212
PECOS Enrollment IDI20250605001615
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 31008 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Brenda Bradshaw's NPI number?

The NPI number for Brenda Bradshaw is 1376303420. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Brenda Bradshaw located?

Brenda Bradshaw practices at 164 Red Oak Rd, Byron, GA 31008. The listed phone number is (229) 977-1171.

What is Brenda Bradshaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Brenda Bradshaw enrolled in Medicare?

Yes. Brenda Bradshaw 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.

When was this NPI record last updated?

The NPPES record for Brenda Bradshaw was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.