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ZACKARY MICHAEL BRADSHAW DDS
NPI 1750076063
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since April 11, 2023
1120 15TH ST # GC5110, AUGUSTA, GA 30912(706) 721-2371 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2024, Apr 11, 2023 (2 updates tracked since 2023).

About Zackary Michael Bradshaw Dds NPPES

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

ZACKARY MICHAEL BRADSHAW DDS (NPI 1750076063) is an individual student in an organized health care education/training program in Augusta, Georgia, licensed in Georgia (DN123617) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1750076063
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameZACKARY MICHAEL BRADSHAWCredential: DDS
Location Address1120 15TH ST # GC5110Augusta, GA 30912-0004
Mailing Address1196 E Preston DrAlpine, UT 84004-1937 · (801) 995-1425
Phone(706) 721-2371
Sole ProprietorYes
Enumeration DateApril 11, 2023
Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1750076063 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
License✔ Licensed in GA · DN123617
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.
1120 15TH ST # GC5110, Augusta, GA 30912
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Other Providers at the Same Location NPPES 16

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

DR. HARRISON MACNELLIS
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Richmond County (706) 721-2251
DR. HANNAH PRICE DMD
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Richmond County (970) 389-6578
DR. TYLER AUSTIN SLATE DMD
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Richmond County (706) 721-2251
DR. CAROLINE CARLOCK WELTLICH DMD
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Richmond County (404) 783-8065
CONNOR MICHAEL FARINA
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Richmond County (706) 721-2251
KATLYN MICHELLE BARLOWE
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Richmond County (706) 721-2251
DR. AMIR ALIZADEH DDS
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Richmond County (706) 721-8232
DR. MACY STUART BEAMAN DDS
Student in an Organized Health Care Education/Training Program
1120 15TH ST # GC5110
AUGUSTA, GA 30912
Richmond County (252) 524-1834

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 Zackary Bradshaw's NPI number?

The NPI number for Zackary Bradshaw is 1750076063. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Zackary Bradshaw located?

Zackary Bradshaw practices at 1120 15th St # Gc5110, Augusta, GA 30912. The listed phone number is (706) 721-2371.

What is Zackary Bradshaw's specialty?

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

When was this NPI record last updated?

The NPPES record for Zackary Bradshaw was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.