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TIMOTHY WAYNE BRADSHAW
NPI 1417271867
Social Worker - Clinical in Greensboro, NC

Active since March 15, 2010PECOS EnrolledAccepts Medicare Assignment
201 N EUGENE ST, GREENSBORO, NC 27401(336) 676-6840 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2019, Nov 7, 2017, Apr 11, 2017 and 1 more (4 updates tracked since 2016).

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

NPI1417271867
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTIMOTHY WAYNE BRADSHAW
Location Address201 N EUGENE STGreensboro, NC 27401-2221
Mailing Address350 Pee Dee Ave Ste 101Albemarle, NC 28001-4945 · (704) 986-1500
Phone(336) 676-6840
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 15, 2010
Last NPPES UpdateApril 8, 20194 updates tracked since enumeration
✔ NPI 1417271867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C006677
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
201 N EUGENE ST, Greensboro, NC 27401
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Secondary Practice Location 1

Location 11731 Connelly Springs RdLenoir, NC 28645-7827 · Phone (828) 757-6300 · Fax (828) 757-6324

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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

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.

PECOS PAC ID5698803922
PECOS Enrollment IDI20100507000058
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.

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, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340041
Location321 Mulberry St SWLenoir, NC 28645 · Caldwell County
Emergency services

Physician 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.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. GERALD DALE TAYLOR MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
201 N EUGENE ST
GREENSBORO, NC 27401
Guilford County (336) 641-3630
MRS. HARRIET JOHNSON LONG RN
Counselor (Mental Health)
201 N EUGENE ST
GREENSBORO, NC 27401
Guilford County (336) 641-3630
MS. MAREIDA GROSSMAN-ORR LCSW
Social Worker (Clinical)
201 N EUGENE ST, MONARCH
GREENSBORO, NC 27401
Guilford County (336) 676-6840
DAYMARK RECOVERY SERVICES INC
Psychiatry & Neurology (Psychiatry)
201 N EUGENE ST
GREENSBORO, NC 27401
Guilford County (704) 939-1100
MRS. MILICENT LEWIS DAY LCSW
Social Worker (Clinical)
201 N EUGENE ST
GREENSBORO, NC 27401
Guilford County (336) 641-4993
GUILFORD COUNTY DEPARTMENT OF PUBLIC HEALTH
Pharmacy (Clinic Pharmacy)
201 N EUGENE ST, PHARMACY GUILFORD CENTER
GREENSBORO, NC 27401
Guilford County (336) 641-7777
DEBORAH J. SMITH RN, BC, MSN
Registered Nurse (Psychiatric/Mental Health)
201 N EUGENE ST
GREENSBORO, NC 27401
Guilford County (336) 641-3630
DR. KUMBAIAH N MURTHY MD
Psychiatry & Neurology (Psychiatry)
201 N EUGENE ST
GREENSBORO, NC 27401
Guilford County (336) 676-6840

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.

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.