LAURA BRADSHAW MS/CCC-SLP
NPI 1538772017
Pediatrics in Lake Wylie, SC

Active since August 25, 2020
252 LATITUDE LN STE 103, LAKE WYLIE, SC 29710(803) 818-0218 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laura Bradshaw Ms/ccc-slp NPPES

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

LAURA BRADSHAW MS/CCC-SLP (NPI 1538772017) is an individual pediatrics provider in Lake Wylie, South Carolina, licensed in South Carolina (6812) and active in the NPI registry since August 2020. She maintains a secondary practice location in Clover.

NPPES Registry Identity

NPI1538772017
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLAURA BRADSHAWCredential: MS/CCC-SLP
Location Address252 LATITUDE LN STE 103Lake Wylie, SC 29710-8152
Mailing Address512 Red Wolf LnClover, SC 29710-6728 · (724) 664-6945
Sole ProprietorYes
Enumeration DateAugust 25, 2020
NPPES CertifiedAugust 14, 2020
NPI 1538772017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in SC · 6812
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

252 LATITUDE LN STE 103, Lake Wylie, SC 29710

Other Names 1

Former Name (1)Laura Wright Ms/ccc-slp

Secondary Practice Location 1

Location 1512 Red Wolf LnClover, SC 29710-6728 · Phone (724) 664-6945

Other Identifiers 1

MedicaidGP5559SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Occupational Therapist
252 LATITUDE LN STE 103
LAKE WYLIE, SC 29710
Occupational Therapist
252 LATITUDE LN STE 103
LAKE WYLIE, SC 29710

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 Laura Bradshaw's NPI number?

The NPI number for Laura Bradshaw is 1538772017. It was assigned to this individual provider in the NPPES registry on August 25, 2020. The provider is also known as Laura Wright Ms/Ccc-Slp.

Where is Laura Bradshaw located?

Laura Bradshaw practices at 252 Latitude Ln Ste 103, Lake Wylie, SC 29710. The listed phone number is (803) 818-0218.

What is Laura Bradshaw's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Laura Bradshaw was last updated on August 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.