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WILLIAM BAXTER BRADSHAW DO
NPI 1720922677
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since April 20, 2026PECOS Enrolled
1 MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157(336) 716-2694 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Baxter Bradshaw Do NPPES

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

WILLIAM BAXTER BRADSHAW DO (NPI 1720922677) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720922677
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILLIAM BAXTER BRADSHAWCredential: DO
Location Address1 MEDICAL CENTER BOULEVARDWinston Salem, NC 27157-0001
Mailing Address1 Medical Center BoulevardWinston Salem, NC 27157-0001 · (336) 716-2694
Phone(336) 716-2694
Sole ProprietorNo
Enumeration DateApril 20, 2026
NPPES CertifiedApril 19, 2026
✔ NPI 1720922677 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.
1 MEDICAL CENTER BOULEVARD, Winston Salem, NC 27157
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Baxter 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.

DR. ERIK LARSEN MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2783
JAKE WILLIAM DUPLOOY MD CANDIDATE
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD, 5TH FLOOR WATTLINGTON HALL
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
DR. SOLOMON KLOMBERS MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4490
DR. JARON KAI PRUETT MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4091
MADISON J ROMANO MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-9253
KELSEY LENA CRAVER MD
Emergency Medicine
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 713-9200
SAURAV SUMUGHAN MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 749-7283
WILLIAM CHILDS LIPPERT M.D., M.P.H.
Hospitalist
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Forsyth County (336) 713-5215

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 William Bradshaw's NPI number?

The NPI number for William Bradshaw is 1720922677. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is William Bradshaw located?

William Bradshaw practices at 1 Medical Center Boulevard, Winston Salem, NC 27157. The listed phone number is (336) 716-2694.

What is William 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 William Bradshaw enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for William Bradshaw was last updated on April 20, 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.