Teresa A Bradshaw, CRNFA

Primary specialty

Neuroscience Registered NurseTaxonomy code 163WN0800X

License

R0036252 Issued in OK

Practice address

4120 W Memorial Rd
Suite 300
Oklahoma City, OK 73120-9320

Phone

(405) 748-3300

Fax

(877) 657-5008

NPI assigned

Oct 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Teresa A Rains Former name

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 and National Provider Directory roles.

• Neuroscience Specialists PC

  • Neurological Surgery Physician
  • Oklahoma City, OK
  • NPI 1548239494
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1639358708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 W MEMORIAL RD",
            "address_2": "SUITE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209320",
            "telephone_number": "405-748-3300",
            "fax_number": "877-657-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 W MEMORIAL RD",
            "address_2": "SUITE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209320",
            "telephone_number": "405-748-3300",
            "fax_number": "877-657-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "TERESA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "OK",
            "license": "R0036252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "RAINS",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "CRNFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Coree Bradshaw
• David Lamar Bradshaw, D.O.
• Hananh Bradshaw
• Hunter Ryan Bradshaw
• Monica C Bradshaw
• Crystal M Brady
• Leann Brady, MED, LPC, NCC, NCSC
• Morgan Brady
• Rickey Brady
• Robert W Braese, PH.D.

• Registered Nurse in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.