Individual
JOHN ANDREW BRADSHAW
Active
Individual
JOHN ANDREW BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
216716
NY
2080P0208X
Pediatric Infectious Diseases Physician
216716
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000136319
BLUE SHIELD/HMO/EXCELLUS
—
01
—
00920290002
HEALTH NOW
—
05
—
02223650
—
NY
01
—
10867
TOTALCARE/MANAGED MA
NY
01
—
161010811
RMSCO
—
01
—
V018315
TRICARE
—
Enumeration date
11/19/2005
Last updated
09/21/2012
Update your record
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