Active NPI
Douglas Mark Bradshaw, MD
- Family Medicine Physician
- Harrisonburg, VA
National Provider Identifier
1952333072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101035633
- Practice address
- 1733 Erickson Avenue
Harrisonburg, VA 22801 - Phone
- (540) 433-1530
- Fax
- (540) 433-3941
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101035633 | VA | Primary |
Addresses
Primary practice location
1733 Erickson Avenue
Harrisonburg, VA 22801
Mailing address
1733 Erickson Avenue
Harrisonburg, VA 22801
Phone (540) 433-1530
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 215233 | Other | MAMSI | |
| 279087 | Other | ANTHEM | |
| 5699266 | Medicaid | VA | |
| 001258 | Other | CIGNA | |
| 144274 | Other | SOUTHERN HEALTH | |
| 2115954289202 | Other | BEECH STREET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256688000000",
"number": "1952333072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 ERICKSON AVENUE",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "22801",
"telephone_number": "540-433-1530",
"fax_number": "540-433-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 ERICKSON AVENUE",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "22801",
"telephone_number": "540-433-1530",
"fax_number": "540-433-3941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHAW",
"first_name": "DOUGLAS",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2009-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101035633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "215233",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "279087",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5699266",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "001258",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "144274",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "2115954289202",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.