Active NPI
Mark A Bradshaw, MD
- Psychiatry Physician
- Yakima, WA
National Provider Identifier
1508903436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 70078314
- Practice address
- 402 S 4TH Ave
Yakima, WA 98902-3546 - Phone
- (509) 575-4084
- Fax
- (509) 452-0879
- NPI assigned
- Jan 31, 2007
- Last updated
- Jan 23, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 13160 | MS | |
| Psychiatry Physician | 2084P0800X | 70078314 | WA | Primary |
| Psychiatry Physician | 2084P0800X | 81929 | GA |
Addresses
Primary practice location
402 S 4TH Ave
Yakima, WA 98902-3546
Mailing address
PO Box 959
Yakima, WA 98907-0959
Phone (509) 575-4084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81929 | GA | MD | Psychiatry Physician |
| 13160 | MS | MD | Psychiatry Physician |
| 70078314 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Healthcare - Bridges E&T | Past | Accepting new patients | |
| Lane County Oregon | Past | Accepting new patients | |
| Mark Bradshaw MD PC | Psychiatry | Past | Accepting new patients |
| Comprehensive Healthcare | Past | Accepting new patients | |
| Comprehensive Healthcare | Past | Accepting new patients | |
| Options for Southern Oregon | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Central Point, OR
- NPI 1609189398
-
- Mental Illness Community Based Residential Treatment Facility
- Yakima, WA
- NPI 1689812968
-
- Mental Illness Community Based Residential Treatment Facility
- Selah, WA
- NPI 1760941579
-
- Mental Illness Community Based Residential Treatment Facility
- Yakima, WA
- NPI 1083035547
-
dba Community health Centers of Lane County
- Federally Qualified Health Center (FQHC)
- Springfield, OR
- NPI 1326138314
-
- Primary Care Clinic/Center
- Grants Pass, OR
- NPI 1952708422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1508903436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 959",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989070959",
"telephone_number": "509-575-4084",
"fax_number": "509-225-6313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 S 4TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023546",
"telephone_number": "509-575-4084",
"fax_number": "509-452-0879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHAW",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "13160",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "70078314",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "81929",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.