Individual
JOHN ANDREW BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 GRAHAM RD W, ITHACA, NY 14850-1055
(607) 257-2188
(607) 266-7341
Mailing address
10 GRAHAM RD W, ITHACA, NY 14850-1055
(607) 257-2188
(607) 266-7341
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us