Peter S. Bradshaw M.D.

LBN: Peter S. Bradshaw M.D.
Peter S. Bradshaw M.D. is an health care organization with primary practice located at 77 E Merrimack St Suite 15, Lowell MA 01852-1251. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Peter S. Bradshaw M.D. can be contacted via phone (978) 459-3341, or through Bradshaw, Peter Shewell via phone (978) 459-3341.

Contact Information

Primary practice address
77 E Merrimack St Suite 15 Lowell MA 01852-1251
Phone: (978) 459-3341
Fax: (978) 459-5344
Website:
Map and Directions
Authorized official contact:
Name: Bradshaw, Peter Shewell Doctor of Medicine (MD)
Phone: (978) 459-3341

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1154515013
LBN Legal business name Peter S. Bradshaw M.D.
DBA Doing business as
Authorized official Bradshaw, Peter Shewell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2007
Last updated Sep 4th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154515013 NPPES
Massachusetts MEDICAID 2055074
Massachusetts Other M17561

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