Georgiana Bradshaw, RN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

632417 Issued in TX

Practice address

3 Riverway
Suite 825
Houston, TX 77056-1919

Phone

(713) 840-5245

Fax

(281) 897-9906

NPI assigned

Feb 13, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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.

• Dcoa Physicians PA

  • Medical Specialty Clinic/Center
  • Katy, TX
  • NPI 1023228699
  NPD (past)
• Diabetes Centers of America

  • Medical Specialty Clinic/Center
  • Corpus Christi, TX
  • NPI 1801007554
  NPD (past)
• Texas a&M University System Health Science Center

  • Family Medicine Physician
  • Bryan, TX
  • NPI 1063699312
  NPD (past)
• Texas a&M University System Health Science Center

  • Rural Health Clinic/Center
  • Navasota, TX
  • NPI 1558140004
  NPD (past)

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1770751687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114413",
            "telephone_number": "832-237-3500",
            "fax_number": "832-237-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RIVERWAY",
            "address_2": "SUITE 825",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561919",
            "telephone_number": "713-840-5245",
            "fax_number": "281-897-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "GEORGIANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "TX",
            "license": "632417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toby Michelle Bradley, MA, LCDC
• William Joshua Bradley, PH.D.
• Anthony M. Bradshaw, M.D.
• Christine T. Bradshaw, PH.D.
• Elizabeth Anne Bradshaw, MD
• Jill Akin Bradshaw, RN, MSN, ACNP-C
• Kalonda K Bradshaw, M.D.
• Major R Bradshaw, PH.D
• Major W. Bradshaw, MD
• Mariana Erika Bradshaw, PHD

• Nutritionist in Houston, TX
• Providers in Houston, TX by specialty
• Nutritionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.