Brooke Chewning Bradshaw, ATC
Individual provider Active NPI Athletic Trainer · Kershaw, SC
NPI 1992060149 · NPPES record last updated Jul 12, 2012
Key facts
- NPI
- 1992060149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 3000 Lockhart Rd
Kershaw, SC 29067-9661 - Phone
- (803) 432-6119
- NPI assigned
- Jul 12, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
3000 Lockhart Rd
Kershaw, SC 29067-9661
Mailing address
4640 Red Hill Rd
Camden, SC 29020-7840
Phone (803) 427-6119
Other providers in Kershaw, SC
- C.L. Thaxton Insurance Group, Inc.
- Care-Net of Lancaster
- Carolina Behavioral Healthcare LLC
- Carolina Dental Partners, Inc
- Sheresa Blackmon Catoe
- Rebekah Bowers Clements
- Lisa D Clyburn
- James Darrell Dailey III
- DRS Kelley & McDowell PA
- Robin Fuchs
All providers in Kershaw, SC · Athletic Trainer in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.