Joe D Bradshaw

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

JOE D BRADSHAW

Practice address

2404 Yonkers St
Suite 4
Plainview, TX 79072-1820

Phone

(806) 293-4231

Fax

(806) 293-4231

NPI assigned

Jan 6, 2010

Organization subpart

No

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

Authorized official

Name

Joe Dale Bradshaw, RT, RVT, RDMSNPI 1932439270

Title

Owner

Phone

(806) 729-1901

Specialties & licenses 1

Addresses

Other names 1

• Plainview Portable Radiology Other name

Tax ID family

Joe D Bradshaw2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Joe Dale Bradshaw

  • Mobile Radiology Clinic/Center
  • Plainview, TX
  • NPI 1730401761
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joe Dale Bradshaw, RT,RVT,RDMS

  • Sonography Radiologic Technologist
  • Plainview, TX
  • NPI 1932439270
  NPD (past) Authorized official

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1295065605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NE ALPINE DR",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790728736",
            "telephone_number": "806-729-1901",
            "fax_number": "806-293-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 YONKERS ST",
            "address_2": "SUITE 4",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721820",
            "telephone_number": "806-293-4231",
            "fax_number": "806-293-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE D BRADSHAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-729-1901",
        "authorized_official_credential": "RT, RVT, RDMS"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plainview Portable Radiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Interventional Partners
• Jaime D Murcia MD
• Jimmy Nelson James, D.D.S.
• Kym M. Janiak, PT
• Jeff Wertz
• Joe Dale Bradshaw
• Stacy Johnson, LCDC
• Jon Watkins M.D. P.a.
• Kevin C Jones, DO
• Samuel L Jurado Jr., P.A.

• All providers in Plainview, TX
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.