Brittany T Bradshaw, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5015629 Issued in NC

Practice address

1914 Glen Meade Rd
Wilmington, NC 28403-6094

Phone

(910) 762-2651

Fax

(910) 763-5709

NPI assigned

Jan 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bbradshaw1469362@direct.novanthealth.org
• Direct secure messaging: brittany.bradshaw@pedctr.eclinicaldirectplus.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.

• County of Duplin

  • State or Local Public Health Clinic/Center
  • Kenansville, NC
  • NPI 1235198177
  NPD (past)
• County of Duplin

  • Land Ambulance
  • Kenansville, NC
  • NPI 1508919069
  NPD (past)
• The Pediatric Center

  • Primary Care Clinic/Center
  • Wilmington, NC
  • NPI 1659485415
  NPD (past)
• The Pediatric Center, PLLC

  • Specialist
  • Wilmington, NC
  • NPI 1457320756
  NPD (past)

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1295487585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 GLEN MEADE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036094",
            "telephone_number": "910-762-2651",
            "fax_number": "910-763-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 GLEN MEADE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036094",
            "telephone_number": "910-762-2651",
            "fax_number": "910-763-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "BRITTANY",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5015629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brittany.bradshaw@pedctr.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1914 Glen Meade Rd",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284036094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John C. Bradley, CRNA
• Karimah Iona Bradley, LCAS, LCMHC
• Lindsey Michelle Bradley
• Michael Bradley, ED.D.
• Stacey Ann Bradley, ACNPC-AG
• Erica Bradshaw, PTA
• Kimberly Bradshaw
• Brady J. Semmel, DMD, MD, PA
• Jennifer Brady
• Katherine Brady, CCC-SLP

• Pediatric Nurse Practitioner in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.