David C. Bradshaw, M.D. Apc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

C38599 Issued in CA

Legal business name

DAVID C. BRADSHAW, M.D. APC

Practice address

19830 Lake Chabot Rd
Suite C
Castro Valley, CA 94546-4063

Phone

(510) 964-0458

Fax

(510) 964-0476

NPI assigned

Mar 17, 2010

Last updated

Mar 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Cliett Bradshaw, M.D.NPI 1811990468

Title

Owner/Physician

Phone

(510) 964-0458

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David C Bradshaw, MD PC

  • Physical Medicine & Rehabilitation Physician
  • Castro Valley, CA
  • NPI 1811990468
  Authorized official Same address or phone

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1740504927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945854460",
            "telephone_number": "510-964-0458",
            "fax_number": "510-964-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19830 LAKE CHABOT RD",
            "address_2": "SUITE C",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464063",
            "telephone_number": "510-964-0458",
            "fax_number": "510-964-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C. BRADSHAW, M.D. APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CLIETT",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "510-964-0458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "C38599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C385990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Darnell Jr., D.D.S.
• Lillian Franchot Dashiell, DDS
• Garrett Christopher Daum, M.D.
• Jay Dave
• David C Bonovich MD
• Caleb Marques Davis
• Eric Austin Davis, MD
• Lloyd E Davis, LCSW
• Cynthia Michelle De la Torre
• Neil De Quant, DC

• Physical Medicine & Rehabilitation Physician in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.