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KIRKLAND LEE BRADSHAW DO
NPI 1518669142
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 20, 2023PECOS Enrolled
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027(323) 783-4516 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2026, Mar 20, 2023 (2 updates tracked since 2023).

About Kirkland Lee Bradshaw Do NPPES

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

KIRKLAND LEE BRADSHAW DO (NPI 1518669142) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1518669142
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKIRKLAND LEE BRADSHAWCredential: DO
Location Address4733 W SUNSET BLVD FL 3Los Angeles, CA 90027-6093
Mailing Address4733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6093 · (323) 783-4516
Phone(323) 783-4516
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1518669142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4733 W SUNSET BLVD FL 3, Los Angeles, CA 90027
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Secondary Practice Location 1

Location 16000 49th St NSt Petersburg, FL 33709-2114 · Phone (941) 894-2546

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kirkland Lee Bradshaw Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

GABRIELLE BROWN M.D.
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. ERIC RAY WONG DO
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
SHAINA GANJIAN MD
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
JAMES ZHOU
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (916) 686-7300
DR. BANSARI ASHOKBHAI PATEL DO
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (833) 574-2273
ISABEL OJEDA
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. HONG THI THANH DANG M.D.
Internal Medicine (Nephrology)
4733 W SUNSET BLVD FL 3, KAISER PERMANENTE SOUTHERN CALIFORNIA
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. KRISTOPHER ROBERT WARING MD
Obstetrics & Gynecology (Obstetrics)
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-1430

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 Kirkland Bradshaw's NPI number?

The NPI number for Kirkland Bradshaw is 1518669142. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Kirkland Bradshaw located?

Kirkland Bradshaw practices at 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027. The listed phone number is (323) 783-4516.

What is Kirkland Bradshaw's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kirkland Bradshaw enrolled in Medicare?

Yes. Kirkland Bradshaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kirkland Bradshaw was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.