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BRADLEY BRADSHAW M.D.
NPI 1972747574
General Practice in Springfield, MO

Active since April 27, 2009
1904 S SHADY HILL LN, SPRINGFIELD, MO 65809(417) 860-9044 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradley Bradshaw M.d. NPPES

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

BRADLEY BRADSHAW M.D. (NPI 1972747574) is an individual general practice provider in Springfield, Missouri, licensed in Missouri (R5G73) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1972747574
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameBRADLEY BRADSHAWCredential: M.D.
Location Address1904 S SHADY HILL LNSpringfield, MO 65809-2601
Mailing Address1904 S Shady Hill LnSpringfield, MO 65809-2601 · (417) 860-9044
Phone(417) 860-9044
Sole ProprietorYes
Enumeration DateApril 27, 2009
✔ NPI 1972747574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · R5G73
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1904 S SHADY HILL LN, Springfield, MO 65809
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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 Bradley Bradshaw's NPI number?

The NPI number for Bradley Bradshaw is 1972747574. It was assigned to this individual provider in the NPPES registry on April 27, 2009.

Where is Bradley Bradshaw located?

Bradley Bradshaw practices at 1904 S Shady Hill Ln, Springfield, MO 65809. The listed phone number is (417) 860-9044.

What is Bradley Bradshaw's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Bradley Bradshaw was last updated on April 27, 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.