Thomas Brice Bradshaw, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11582 Issued in NC

Practice address

117 Hidden Valley Dr
Chapel Hill, NC 27516-8949

Phone

(844) 345-2256

Fax

(844) 345-2256

NPI assigned

Nov 4, 2017

Last updated

Mar 17, 2018By the provider in NPPES

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

Opted out of Medicare

Yes, effective Jan 20, 2026 through Jan 20, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Casey Mental Health Collaborative PLLC

  dba Advanced Integrative Health

  • Psychiatry Physician
  • Chapel Hill, NC
  • NPI 1356854566

  Professional

  NPD (past)

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255843850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HIDDEN VALLEY DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168949",
            "telephone_number": "844-345-2256",
            "fax_number": "844-345-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HIDDEN VALLEY DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168949",
            "telephone_number": "844-345-2256",
            "fax_number": "844-345-2256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Paverstone Dr Ste D1",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276154723",
            "country_code": "US",
            "telephone_number": "919-896-6998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "THOMAS",
        "middle_name": "BRICE",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Brittain Bradley, LCSW
• Carter Bradshaw
• Lindsay Walker Bradshaw, PA-S
• Mindy Hall Bradshaw, D.C.
• Patricia Ann Bradshaw, LCMHC
• Crister Brady, MD
• Andre Nazar Braima, PA-C
• Antonio Stanley Braithwaite, DDS, MPH
• Mary Fox Braithwaite, M.D.
• David Brame

• Professional Counselor in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.