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JOSHUA ALLEN BRADSHAW
NPI 1972120087
Counselor - Mental Health in Portland, OR

Active since July 06, 2020Opted out of Medicare · through Oct 28, 2027
3036 NE MLK JR BLVD, PORTLAND, OR 97212(503) 889-2500 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joshua Allen Bradshaw NPPES

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

JOSHUA ALLEN BRADSHAW (NPI 1972120087) is an individual mental health provider in Portland, Oregon and active in the NPI registry since July 2020. He has opted out of Medicare through October 28, 2027.

NPPES Registry Identity

NPI1972120087
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOSHUA ALLEN BRADSHAW
Location Address3036 NE MLK JR BLVDPortland, OR 97212-3053
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 889-2500
Sole ProprietorNo
Enumeration DateJuly 6, 2020
NPPES CertifiedJuly 6, 2020
✔ NPI 1972120087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3036 NE MLK JR BLVD, Portland, OR 97212
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Joshua Allen Bradshaw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 28, 2025 through October 28, 2027.

Opt-Out Effective DateOctober 28, 2025
Opt-Out In Effect ThroughOctober 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

ASHLEY BARDALES
Peer Specialist
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
JENIFER PREVOST
Peer Specialist
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
ANNDREA GLADYS VAUGHN
Case Manager/Care Coordinator
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2500
JESSICA SHIRLEY CUSHMAN
Case Manager/Care Coordinator
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
MS. JUNIPER ELIZABETH WAGNER
Counselor (Mental Health)
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
BENJAMIN MICHAEL DAVIDSON
Student in an Organized Health Care Education/Training Program
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
MADELEINE ROSE POTTER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
PHILIP JOHN MAGGI
Counselor (Addiction (Substance Use Disorder))
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763

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 Joshua Bradshaw's NPI number?

The NPI number for Joshua Bradshaw is 1972120087. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Joshua Bradshaw located?

Joshua Bradshaw practices at 3036 NE Mlk Jr Blvd, Portland, OR 97212. The listed phone number is (503) 889-2500.

What is Joshua Bradshaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Joshua Bradshaw enrolled in Medicare?

No. Joshua Bradshaw has opted out of Medicare through October 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Joshua Bradshaw was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.