Gregory John Bradshaw, P.T.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

070009447 Issued in IL

Practice address

1875 Dempster St
Suite G10
Park Ridge, IL 60068-1186

Phone

(847) 723-7500

NPI assigned

Jul 12, 2010

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1811209364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E WARWICK RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600743873",
            "telephone_number": "847-496-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE G10",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-723-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "070009447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boyce Family Eye Care, LTD.
• Diane Kay Boyle, APN
• Patrick Boyle, PT
• Seamus W Boyle, LSW
• Ionut L Bradescu
• William J Brander, M.D.
• Andrew Kalsem Brandser, MD
• Mark T Brandt, MD
• Ryan Kelsey Brandt, LPC, ATR-P
• Sydney Raphael Brandwein, M.D.

• General Acute Care Hospital in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.