National Provider Identifier
John Andrew Bradshaw, MD
John Andrew Bradshaw, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Ithaca, NY and a listed phone number of (607) 257-2188.
Profile Overview
- NPI
- 1124000518
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- November 19, 2005
- Last Updated
- September 21, 2012
Practice Location
- 10 Graham RD W
- Ithaca, NY 14850-1055
Phone: (607) 257-2188
Specialties
- Pediatrics Physician (208000000X)
- Pediatric Infectious Diseases Physician (2080P0208X)
Full Record
- NPI
- 1124000518
- Entity Type
- Individual
- Last Name
- Bradshaw
- First Name
- John
- Middle Name
- Andrew
- Credential
- MD
- Mailing Street Address
- 10 Graham RD W
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1055
- Mailing Country
- US
- Mailing Phone
- (607) 257-2188
- Mailing Fax
- (607) 266-7341
- Practice Street Address
- 10 Graham RD W
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1055
- Practice Country
- US
- Practice Phone
- (607) 257-2188
- Practice Fax
- (607) 266-7341
- Enumeration Date
- November 19, 2005
- Last Updated
- September 21, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X), Pediatric Infectious Diseases Physician (2080P0208X)
- Other Identifiers
- 10867 (NY, Totalcare/Managed Ma), 000136319 (Blue Shield/Hmo/Excellus), 02223650 (NY), 00920290002 (Health Now), V018315 (Tricare), 161010811 (Rmsco), 161010811 (Commercial Carriers)