Michael R Bradshaw

Primary specialty

PharmacistTaxonomy code 183500000X

License

11285 Issued in KS

Practice address

7739 State Ave
Kansas City, KS 66112-2819

Phone

(913) 788-8168

NPI assigned

Sep 20, 2011

Last updated

Sep 20, 2011By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Walgreen Co

  dba Walgreens #07550

  • Pharmacy
  • Kansas City, KS
  • NPI 1033124250
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1508149204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7739 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122819",
            "telephone_number": "913-788-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7739 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122819",
            "telephone_number": "913-788-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "11285",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "040404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Boyle, MD
• Kelsey Lyn Boyum, RRT
• John Ryan Bracken, MD
• Bradley a. Appl, M.D., P.C. (I-635 Primary Care Specialists)
• Kayron Aliece Bradley, M.D.
• Mary Elizabeth Bradsky, DO
• Clare Dunstan Brady, MD
• John Hugh Braithwaite, D.C., M.S.
• Bryan Jon Brakhage, DC
• Wendy Ann Brakhage, D.C.

• Pharmacist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.