DR. BASCOM KYLE BRADSHAW D.O., M.P.H.
NPI 1518064583
Psychiatry & Neurology - Psychiatry in Pensacola, FL

Q: What is Bascom Bradshaw's NPI number?

The NPI number for Bascom Bradshaw is 1518064583. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Bascom Bradshaw's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Bascom Bradshaw was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

2191 E JOHNSON AVE, PENSACOLA, FL 32514(850) 494-3917(850) 494-3960 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 1, 2023, Sep 6, 2022, Nov 13, 2019 and 1 more (4 updates tracked since 2018).

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About Dr. Bascom Kyle Bradshaw D.o., M.p.h. NPPES

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

DR. BASCOM KYLE BRADSHAW D.O., M.P.H. (NPI 1518064583) is an individual psychiatry provider in Pensacola, Florida, licensed in North Carolina (2018-01630) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2001).

NPPES Registry Identity

NPI1518064583

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. BASCOM KYLE BRADSHAWCredential: D.O., M.P.H.

Location Address2191 E JOHNSON AVEPensacola, FL 32514-6029

Mailing AddressPo Box 409075Atlanta, GA 30384-9075 · (615) 373-7600 · Fax (866) 347-1426

Phone(850) 494-3917

Fax(850) 494-3960

Sole ProprietorNo

Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2001

Enumeration DateSeptember 20, 2006

Last NPPES UpdateApril 16, 20254 updates tracked since enumeration

NPPES CertifiedApril 16, 2025

✔ NPI 1518064583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in NC · 2018-01630✔ Licensed in AL · DO.1388✔ Licensed in IN · 02002502A✔ Licensed in GA · 73929✔ Licensed in FL · OS16451

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License 02002502A (IN)

2191 E JOHNSON AVE, Pensacola, FL 32514

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Secondary Practice Location 1

Location 11225 NE 2nd AvePortland, OR 97232-2003 · Phone (503) 944-8000

Other Identifiers 1

Medicaid1518064583NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Moda Health Plan, Inc. and more.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

Dr. Bascom Kyle Bradshaw D.o., M.p.h. 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 ID1052632015

PECOS Enrollment IDI20150603001445

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.

Medicare Billing Reassignments

Medicare enrollment records show Bascom Bradshaw reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Houston County Healthcare Authority

99 mi

Internal Medicine

101 PROFESSIONAL LN
Enterprise, AL 36330

Reassigned Medicare billing, Alabama enrollment
514 clinicians in this Medicare group

NPI 1619026606 (334) 347-3404

Phoebe Senior Center

185 mi

Clinic/Center

161 E BROAD ST
Camilla, GA 31730

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Phoebe Physician Group Inc
1,118 clinicians in this Medicare group

NPI 1821394271 (229) 336-5208

Forsyth Memorial Hospital Inc

520 mi

Hematology & Oncology

276 OLD MOCKSVILLE RD STE 800
Statesville, NC 28625

Reassigned Medicare billing, North Carolina enrollment
1,202 clinicians in this Medicare group

NPI 1649589763 (704) 873-5150

Nhcs Physicians Inc

659 mi

Physician Assistant

2460 CURTIS ELLIS DRIVE
Rocky Mount, NC 27804

Reassigned Medicare billing, North Carolina enrollment
205 clinicians in this Medicare group

NPI 1003028630 (252) 443-8540

Legacy Emanuel Hospital & Health Center

2,169 mi

General Acute Care Hospital

1225 NE 2ND AVE
Portland, OR 97232

Reassigned Medicare billing, Oregon enrollment
719 clinicians in this Medicare group

NPI 1003367491 (503) 944-8000

Tuality Medical Group LLC

2,184 mi

Neurology

364 SE 8TH AVE STE 101
Hillsboro, OR 97123

Reassigned Medicare billing, Oregon enrollment
691 clinicians in this Medicare group

NPI 1639690704 (503) 681-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

50 services13 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32514 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 12

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

MRS. SUSAN W LIGHTFOOT MHC

Counselor (Mental Health)

2191 E JOHNSON AVE
PENSACOLA, FL 32514

Escambia County (850) 494-3953

VIJAYABHARATHI EKAMBARAM MD

Psychiatry & Neurology (Psychiatry)

2191 E JOHNSON AVE
PENSACOLA, FL 32514

Escambia County (850) 494-3953

MRS. RENEE CHRISTINE LYNCH FNP

Nurse Practitioner (Psychiatric/Mental Health)

2191 E JOHNSON AVE
PENSACOLA, FL 32514

Escambia County (850) 494-3953

LORI ANNE LOWTHERT MD

Psychiatry & Neurology (Psychiatry)

2191 E JOHNSON AVE
PENSACOLA, FL 32514

Escambia County (850) 494-3953

MR. RAUL JIMENEZ MD

Psychiatry & Neurology (Psychiatry)

2191 E JOHNSON AVE
PENSACOLA, FL 32514

Escambia County (850) 494-3953

DR. JOHN C HAYES MD

Psychiatry & Neurology (Psychiatry)

2191 E JOHNSON AVE
PENSACOLA, FL 32514

Escambia County (850) 494-3953

GEORGIA LEE KETCHUM M.D.

Psychiatry & Neurology (Psychiatry)

2191 E JOHNSON AVE, INPATIENT PSYCHIATRY
PENSACOLA, FL 32514

Escambia County (850) 494-3953

ANNA CATHERINE DOIZE ARNP, PMHNP

Nurse Practitioner

2191 E JOHNSON AVE
PENSACOLA, FL 32514

Escambia County (850) 494-3917

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 Bascom Bradshaw's NPI number?

The NPI number for Bascom Bradshaw is 1518064583. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Bascom Bradshaw located?

Bascom Bradshaw practices at 2191 E Johnson Ave, Pensacola, FL 32514. The listed phone number is (850) 494-3917.

What is Bascom Bradshaw's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Bascom Bradshaw enrolled in Medicare?

Yes. Bascom 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 Bascom Bradshaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bascom Bradshaw reassigns Medicare benefits to 6 organizations: Houston County Healthcare Authority (Enterprise, AL), Phoebe Senior Center (Camilla, GA), Forsyth Memorial Hospital Inc (Statesville, NC), Nhcs Physicians Inc (Rocky Mount, NC), Legacy Emanuel Hospital & Health Center (Portland, OR) and 1 more organization, listed in the Medicare section above. 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 Bascom Bradshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bascom Bradshaw accept?

Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Moda Health Plan, Inc. and UnitedHealthcare list Bascom 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.

When was this NPI record last updated?

The NPPES record for Bascom Bradshaw was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.