TIMOTHY WAYNE BRADSHAW
NPI 1417271867
Social Worker - Clinical in Greensboro, NC
About Timothy Wayne Bradshaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY WAYNE BRADSHAW (NPI 1417271867) is an individual clinical provider in Greensboro, North Carolina, licensed in North Carolina (C006677) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Caldwell Memorial Hospital, and maintains a secondary practice location in Lenoir.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timothy Wayne Bradshaw 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.
Medicare Billing Reassignments
2Medicare enrollment records show Timothy Bradshaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greensboro, NC 27408
- Reassigned Medicare billing, North Carolina enrollment
- 260 clinicians in this Medicare group
Hickory, NC 28601
- Reassigned Medicare billing, North Carolina enrollment
- Also billed through NPI 1801688445 (North Carolina)
- 27 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Caldwell Memorial Hospital
Acute Care Hospitals · Lenoir, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GREENSBORO, NC 27401
GREENSBORO, NC 27401
GREENSBORO, NC 27401
GREENSBORO, NC 27401
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 Timothy Bradshaw's NPI number?
The NPI number for Timothy Bradshaw is 1417271867. It was assigned to this individual provider in the NPPES registry on March 15, 2010.
Where is Timothy Bradshaw located?
Timothy Bradshaw practices at 201 N Eugene St, Greensboro, NC 27401. The listed phone number is (336) 676-6840.
What is Timothy Bradshaw's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Timothy Bradshaw enrolled in Medicare?
Yes. Timothy 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.
Which organizations bill Medicare for Timothy Bradshaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Bradshaw reassigns Medicare benefits to 2 organizations: Monarch (Greensboro, NC) and Caldwell Memorial Hospital, Inc. (Hickory, NC). 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 Timothy Bradshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Bradshaw accept?
Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Timothy Bradshaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Timothy Bradshaw affiliated with any hospitals?
According to CMS data, Timothy Bradshaw is affiliated with Caldwell Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Timothy Bradshaw was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Timothy Wayne Bradshaw · NPI 1417271867
Clinical provider in Greensboro, North Carolina. Individual provider, active in the CMS NPPES registry since March 15, 2010.
## Identity
- **NPI:** 1417271867 (Entity type: Individual)
- **Enumerated:** March 15, 2010
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** C006677 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 N EUGENE ST, Greensboro, NC 27401-2221
- **Phone:** (336) 676-6840
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Monarch (NPI 1831465442, Greensboro, NC); Caldwell Memorial Hospital, Inc. (NPI 1417661976, Hickory, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** April 8, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1417271867) · Data from the CMS NPPES public registry.