Individual
DR. BASCOM KYLE BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.P.H.
Contact information
Practice address
2191 E JOHNSON AVE, PENSACOLA, FL 32514-6029
(850) 494-3917
(850) 494-3960
Mailing address
PO BOX 409075, ATLANTA, GA 30384-9075
(615) 373-7600
(866) 347-1426
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
02002502A
IN
2084P0800X
Psychiatry Physician
02002502A
IN
2084P0800X
Psychiatry Physician
Primary
2018-01630
NC
2084P0800X
Psychiatry Physician
73929
GA
2084P0800X
Psychiatry Physician
DO.1388
AL
2084P0800X
Psychiatry Physician
OS16451
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518064583
—
NC
Enumeration date
09/20/2006
Last updated
04/16/2025
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