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

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: July 26, 2026.

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

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
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

Secondary Practice Location 1

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

Other Identifiers 1

Medicaid1518064583NC

Accepted 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

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.

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.

Psychiatry & Neurology (Psychiatry)
2191 E JOHNSON AVE
PENSACOLA, FL 32514
Psychiatry & Neurology (Psychiatry)
2191 E JOHNSON AVE
PENSACOLA, FL 32514
Counselor (Mental Health)
2191 E JOHNSON AVE
PENSACOLA, FL 32514
Psychiatry & Neurology (Psychiatry)
2191 E JOHNSON AVE
PENSACOLA, FL 32514
Psychiatry & Neurology (Psychiatry)
2191 E JOHNSON AVE, INPATIENT PSYCHIATRY
PENSACOLA, FL 32514
Psychologist (Clinical)
2191 E JOHNSON AVE
PENSACOLA, FL 32514
Nurse Practitioner
2191 E JOHNSON AVE
PENSACOLA, FL 32514
Psychiatry & Neurology (Psychiatry)
2191 E JOHNSON AVE
PENSACOLA, FL 32514

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.

What insurance does Bascom Bradshaw accept?

Health plans from Blue Cross and Blue Shield of NC, BridgeSpan Health Company, Moda Health Plan, Inc., Oscar Health Plan of North Carolina, Inc and Regence BlueCross BlueShield of Oregon and 1 other insurer 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 with the weekly NPPES data releases published by CMS.