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: July 19, 2026.

  • Individual
  • Male
  • Clinical Neuropsychologist

About CHARLES BRADSHAW

This page provides the complete NPI Profile along with additional information for Charles Bradshaw, a provider established in Syracuse, New York with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1780632851 assigned on May 2006. The practitioner's primary taxonomy code is 103G00000X with license number 010159 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1780632851 Verify this NPI
Provider Name
CHARLES B BRADSHAW PH.D
Gender
Male
Entity Type
Individual
Location Address
750 E ADAMS ST DEPARTMENT OF NEUROLOGY SYRACUSE, NY 13210
Location Phone
(315) 464-5016
Location Fax
(315) 464-5355
Mailing Address
750 E ADAMS ST SYRACUSE, NY 13210
Mailing Phone
(315) 464-5016
Mailing Fax
(315) 464-7328
Is Sole Proprietor?
No
Enumeration Date
05-04-2006
Last Update Date
01-23-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
010159
License State
NY
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
35124TMEDICARE PIN (08)NY 
R82316MEDICARE UPIN (02) 
01207905MEDICAID (05)NY 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Radiology (Diagnostic Radiology)
750 E ADAMS ST, 3RD FLOOR RADIOLOGY
SYRACUSE, NY 13210
Nuclear Medicine
750 E ADAMS ST, 3RD FLOOR RADIOLOGY
SYRACUSE, NY 13210
Radiology (Diagnostic Radiology)
750 E ADAMS ST, 3RD FLOOR RADIOLOGY
SYRACUSE, NY 13210
Radiology (Diagnostic Radiology)
750 E ADAMS ST, 3RD FLOOR RADIOLOGY
SYRACUSE, NY 13210
Physician Assistant (Medical)
750 E ADAMS ST
SYRACUSE, NY 13210
Internal Medicine
750 E ADAMS ST, PHYSICAL MEDICINE AND REHABILITATION MSG
SYRACUSE, NY 13210
Transplant Surgery
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Nuclear Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Medical Genetics (Clinical Molecular Genetics)
750 E ADAMS ST, CLINICAL PATHOLOGY
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210
Anesthesiology
750 E ADAMS ST
SYRACUSE, NY 13210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780632851, enumerated as an "individual" on May 04, 2006.

The provider is located at 750 E ADAMS ST DEPARTMENT OF NEUROLOGY SYRACUSE, NY 13210 and the phone number is (315) 464-5016.

Clinical Neuropsychologist with taxonomy code 103G00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.