Active NPI
Brianna Marie Bradshaw, ATC
- Athletic Trainer
- Desoto, TX
National Provider Identifier
1235637034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT6810
- Practice address
- 601 E Belt Line Rd
Desoto, TX 75115-5103 - Phone
- (972) 223-0690
- Fax
- (972) 223-0690
- NPI assigned
- Jan 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT6810 | TX | Primary |
Addresses
Primary practice location
601 E Belt Line Rd
Desoto, TX 75115-5103
Mailing address
2403 N Washington Ave Apt 221
Dallas, TX 75204-3767
Phone (678) 467-4257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT6810 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1235637034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 N WASHINGTON AVE APT 221",
"city": "DALLAS",
"state": "TX",
"postal_code": "752043767",
"telephone_number": "678-467-4257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E BELT LINE RD",
"city": "DESOTO",
"state": "TX",
"postal_code": "751155103",
"telephone_number": "972-223-0690",
"fax_number": "972-223-0690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHAW",
"first_name": "BRIANNA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-26",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT6810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.