Active NPI
Jamison A Bradshaw, DO
- Psychiatry Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 281926
- Practice address
- Baystate Medical Ctr
759 Chestnut Street
Springfield, MA 01199 - Phone
- (413) 794-0000
- NPI assigned
- Mar 24, 2016
- Last updated
- Apr 27, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 281926 | MA | Primary |
Addresses
Primary practice location
Baystate Medical Ctr
759 Chestnut Street
Springfield, MA 01199
Mailing address
280 Chestnut St FL 2
Springfield, MA 01199-0001
Phone (413) 794-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Rowan University School of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1735 Mission St
San Francisco, CA 94103-2417
Phone (415) 565-7667
759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 794-8121
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19279 | CA | MD | Chiropractor |
| 281926 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Medical Practices, Inc | Psychiatry | Current | Accepting new patients |
| Lyon-Martin Community Health Services | Current | Accepting new patients | |
| Baystate Medical Center Inc | Past | Accepting new patients | |
| Baystate Medical Center Inc | Past | Accepting new patients | |
| Baystate Medical Center Inc | Past | Accepting new patients |
Locations
280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385
759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
Interoperability endpoints
- jbradshaw524403@direct.ochin.org
Organizations & group practices 5
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Psychiatry
-
- Community Health Clinic/Center
- San Francisco, CA
- NPI 1588238497
-
dba Baystate Home Infusion & Respiratory Services
- Oxygen Equipment & Supplies (DME)
- Springfield, MA
- NPI 1295736098
-
dba Baystate Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
- Psychiatric Hospital Unit
- Springfield, MA
- NPI 1497756282
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baystate Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
dba Baystate Reference Laboratories
- Clinical Medical Laboratory
- Springfield, MA
- NPI 1568488450
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1588026959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT ST FL 2",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011990001",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAYSTATE MEDICAL CTR",
"address_2": "759 CHESTNUT STREET",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01199",
"telephone_number": "413-794-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHAW",
"first_name": "JAMISON",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-24",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "281926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.