John D Bradshaw PC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

JOHN D BRADSHAW PC

Practice address

107 W Michigan Ave
6TH Floor
Kalamazoo, MI 49007-3946

Phone

(269) 373-4400

Fax

(269) 488-4561

NPI assigned

Jun 17, 2010

Last updated

Jun 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

Mr. John Dee Bradshaw

Title

President

Phone

(269) 373-4400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1881915478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W MICHIGAN AVE",
            "address_2": "6TH FLOOR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073946",
            "telephone_number": "269-373-4400",
            "fax_number": "269-488-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W MICHIGAN AVE",
            "address_2": "6TH FLOOR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073946",
            "telephone_number": "269-373-4400",
            "fax_number": "269-488-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D BRADSHAW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-373-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ji
• Gina Marie Jiamboi, MD
• Dayana Raed Sari Jibrin
• Rosa Jimenez Loera
• Marian Jirjis, MD
• John J Spurr DDS PLC (Spurr Family Dentistry)
• John L. Sinclair Jr. DDS, PC
• John S Kostin MD PC
• John T. Cerovski, M.D., PC
• Sherin John, PA-C

• Contractor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Contractor in Michigan

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