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CHARLES B BRADSHAW PH.D
NPI 1780632851
Clinical Neuropsychologist in Syracuse, NY

Active since May 04, 2006
750 E ADAMS ST, DEPARTMENT OF NEUROLOGY, SYRACUSE, NY 13210(315) 464-5016(315) 464-5355 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles B Bradshaw Ph.d NPPES

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

CHARLES B BRADSHAW PH.D (NPI 1780632851) is an individual clinical neuropsychologist in Syracuse, New York, licensed in New York (010159) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1780632851
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameCHARLES B BRADSHAWCredential: PH.D
Location Address750 E ADAMS ST, DEPARTMENT OF NEUROLOGYSyracuse, NY 13210-2306
Mailing Address750 E Adams StSyracuse, NY 13210-2306 · (315) 464-5016 · Fax (315) 464-7328
Phone(315) 464-5016
Fax(315) 464-5355
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJanuary 23, 2009
✔ NPI 1780632851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 010159
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
750 E ADAMS ST, Syracuse, NY 13210
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Other Identifiers 3

Medicare PIN35124TNY
Medicare UPINR82316
Medicaid01207905NY

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.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

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 Charles Bradshaw's NPI number?

The NPI number for Charles Bradshaw is 1780632851. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Charles Bradshaw located?

Charles Bradshaw practices at 750 E Adams St Department Of Neurology, Syracuse, NY 13210. The listed phone number is (315) 464-5016.

What is Charles Bradshaw's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Charles Bradshaw was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.