Curtis Bradshaw

Primary specialty

ContractorTaxonomy code 171W00000X

License

051187353 Issued in GA

Practice address

107 Willow Ridge Cir
Thomasville, GA 31757-2834

Phone

(229) 516-2496

NPI assigned

Oct 14, 2016

Last updated

Oct 14, 2016By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathway to Hope Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Valdosta, GA
  • NPI 1578703385
  NPD (past)

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1841741899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 W HILL AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015235",
            "telephone_number": "229-249-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WILLOW RIDGE CIR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317572834",
            "telephone_number": "229-516-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "CURTIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "051187353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Stuart Bozeman, D.M.D,
• C. Ronnie Bozeman, DMD
• Tracy Brack, LPC
• Robert Lee Bradford, P.A.-C
• Kaitlyn Bradley, PTGEORGIA
• Cordell Bragg, MD
• Karen Bramblett, MD
• Deborah J. Brandt, P.A.
• William W Brazil, PA
• Henry Howard Brewer III, OD

• Contractor in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.