Susan Bradshaw, MD

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

G73849 Issued in CA

Practice address

6320 W Howard Drollinger Way Ste 203
Los Angeles, CA 90045-3627

Phone

(310) 665-0300

Fax

(310) 665-0303

NPI assigned

Jun 7, 2017

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1104355783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W HOWARD DROLLINGER WAY STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453627",
            "telephone_number": "310-665-0300",
            "fax_number": "310-665-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W HOWARD DROLLINGER WAY STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453627",
            "telephone_number": "310-665-0300",
            "fax_number": "310-665-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "G73849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Bradshaw
• Eilise Maire Bradshaw, BCBA
• Iliana Celess Bradshaw
• Kirkland Lee Bradshaw, DO
• Steven Philip Bradshaw, LMFT
• Vanessa Lynn Bradshaw, 10940089
• Kevin Brady
• Michael J Brady, MFT
• Molly Brady, M.D.
• Sheiaundra Brady

• Preventive Medicine/Occupational Environmental Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.