NPIMap

Individual provider Active NPI

Price Bradshaw III, MD

  • Anesthesiology Physician
  • Mechanicsburg, PA
National Provider Identifier
1609091230
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD431357 Issued in PA
Practice address
4999 Louise Dr
Mechanicsburg, PA 17055-6907
Phone
(717) 766-1127
Fax
(717) 766-5518
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD431357 PA Primary

Addresses

Primary practice location

4999 Louise Dr
Mechanicsburg, PA 17055-6907

Mailing address

4999 Louise Dr
Mechanicsburg, PA 17055-6907
Phone (717) 766-1127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070710000027 PA Practitioner - Anesthesiology 7911007711 Reassigns benefits to 1 organization
I20200819000473 WV Practitioner - Anesthesiology 7911007711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at Houston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians

Practice addresses (Care Compare)

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-7823

Hospital & facility affiliations

  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Camc Charleston Surgical Hospital Hospital, Charleston, WV, CCN 510091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Nov 25, 2024 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Riverside Anesthesia Associates, LTD Anesthesiology CurrentSince Jul 23, 2007 Accepting new patients
General Anesthesia Services Inc Anesthesiology CurrentSince Sep 1, 2020 Accepting new patients

Locations

1 Rutherford Rd
Ste 101
Harrisburg, PA 17109
Phone (717) 545-5256

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

3508 Staunton Ave SE
Charleston, WV 25304
Phone (304) 925-4086

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Organizations & group practices 4

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609091230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 LOUISE DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556907",
            "telephone_number": "717-766-1127",
            "fax_number": "717-766-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 LOUISE DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556907",
            "telephone_number": "717-766-1127",
            "fax_number": "717-766-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "PRICE",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD431357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.