Individual
DEVIN BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 477-6572
Mailing address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO3290
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DO3290
NV
207RP1001X
Pulmonary Disease Physician
Primary
DO3290
NV
208D00000X
General Practice Physician
DO3290
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
04/11/2026
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