Jason Derek Bradshaw, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

687070 Issued in TX

Practice address

1901 S 1St St
Temple, TX 76504-7451

Phone

(254) 743-0714

NPI assigned

Jun 12, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1003178450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 FOUNTAINWOOD CIR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331911",
            "telephone_number": "512-635-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 1ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047451",
            "telephone_number": "254-743-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "JASON",
        "middle_name": "DEREK",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "687070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Brading, M.D.
• Nikki Bradley, PHARMD
• Olga Ramirez Bradley, CRNA
• Charles Callis Hucks Bradshaw, MD
• Charlotte Bradshaw, RPH
• Lance Bradt, M.D.
• Zachary Tyler Brady, MD
• Robert H. Brakemeier, M.D.
• Stephen Keith Bramlett, FNP-BC
• Thomas G. Brammeier, M.D.

• Family Nurse Practitioner in Temple, TX
• Providers in Temple, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.