Organization
DAVID C. BRADSHAW, M.D. APC
Active
Organization
DAVID C. BRADSHAW, M.D. APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CLIETT BRADSHAW M.D. (OWNER/PHYSICIAN)
(510) 964-0458
Entity
Organization
Contact information
Practice address
19830 LAKE CHABOT RD, SUITE C, CASTRO VALLEY, CA 94546-4063
(510) 964-0458
(510) 964-0476
Mailing address
PO BOX 1460, SUISUN CITY, CA 94585-4460
(510) 964-0458
(510) 964-0476
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
C38599
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C385990
—
CA
Enumeration date
03/17/2010
Last updated
03/17/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up