Bradshaw, John David
Bradshaw, John David is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-8426. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bradshaw, John David can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-8426
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2019-02392 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | ME129022 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 18347 | Florida |
Profile Details
| NPI number | 1568807055 |
|---|---|
| LBN Legal business name | Bradshaw, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2013 |
| Last updated | Oct 28th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568807055 | NPPES |
| Florida | MEDICAID | 024846300 |
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