Christopher Michael Bradshaw, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6128 Issued in AZ

Practice address

2034 E Southern Ave Ste D
Tempe, AZ 85282-7511

Phone

(480) 923-6200

Fax

(602) 419-3101

NPI assigned

Nov 20, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alevea Mental Health LLCGroup PAC ID 6608135652, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: topherbradshaw@aleveamentalhealth.kareodirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alevea Mental Health LLC

  • Physician Assistant
  • Tempe, AZ
  • NPI 1619482478
  Medicare reassignment Care Compare group Authorized official
• Connectionsaz, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1083840953
  Medicare reassignment
• Uhs of Phoenix, LLC

  • Psychiatric Hospital
  • Phoenix, AZ
  • NPI 1740604636
  Medicare reassignment
• Connectionsaz, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1972985547
  NPD
• Tri-City Express Care, PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1649554940
  NPD

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1245604768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 E SOUTHERN AVE STE D",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827511",
            "telephone_number": "480-923-6200",
            "fax_number": "602-419-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 E SOUTHERN AVE STE D",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827511",
            "telephone_number": "480-923-6200",
            "fax_number": "602-419-3101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2545 W Quail Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850272418",
            "country_code": "US",
            "telephone_number": "602-455-5700",
            "fax_number": "602-283-7746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-20",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6128",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Braden
• Bradley B Anderson MD PLLC
• Cintara S. Bradley, N.D.
• Jennifer Kay Bradley, PSY.D.
• William Lowell Bradley, M.S.W.
• Jacob R Bradshaw, MD
• Eric Braha, LMT
• Mary Elizabeth Braham, ANPC
• Taylor Cunha Branaghan
• Ashton Phillip Branca

• Physician Assistant in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.