NPIMap

Organization Active NPI

Mark Bradshaw MD PC

  • Psychiatry Physician
  • Central Point, OR
National Provider Identifier
1609189398
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD24707 Issued in OR
Legal business name
MARK BRADSHAW MD PC
Practice address
1208 Beall LN
Central Point, OR 97502-1573
Phone
(541) 664-5151
Fax
(877) 772-9433
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Mark A Bradshaw, MDNPI 1508903436
Title
President
Phone
(541) 482-2175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD24707 OR Primary

Addresses

Primary practice location

1208 Beall LN
Central Point, OR 97502-1573

Mailing address

238 E Main St
Suite B
Ashland, OR 97520-1831
Phone (541) 482-2175

National Provider Directory

National Provider Directory

Locations

238 E Main St
Ste B
Ashland, OR 97520
Phone (541) 482-2175

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1609189398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 E MAIN ST",
            "address_2": "SUITE B",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201831",
            "telephone_number": "541-482-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 BEALL LN",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021573",
            "telephone_number": "541-664-5151",
            "fax_number": "877-772-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK BRADSHAW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-482-2175",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD24707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.