Bascom Kyle Bradshaw in Pensacola - Psychiatry
Bascom Kyle Bradshaw - NPI 1518064583
Bascom Kyle Bradshaw is a Psychiatry in Pensacola, Florida. Bascom Kyle Bradshaw practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Bascom Kyle Bradshaw is 1518064583. The last update date is 2023-02-01.
Bascom Kyle Bradshaw's current location address is 2191 E Johnson Ave, Pensacola, Florida. You can contact this provider via phone number 8504943917 and fax number 8504943960. The mailing address for Bascom Kyle Bradshaw is 2191 E Johnson Ave, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bascom Kyle Bradshaw |
|---|---|
| Address | 2191 E Johnson Ave, Pensacola, Florida |
| Phone Number | 8504943917 |
| Fax Number | 8504943960 |
| Sole Proprietor | N |
| Credentials | D.O., M.P. |
NPI Number Detail
| NPI Number | 1518064583 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2023-02-01 |
Provider Mailing Address Detail
| Address | 2191 E Johnson Ave |
|---|---|
| City | Pensacola |
| State | Florida (FL) |
| Post Code | 325146029 |
| Phone Number | 8504943917 |
| Fax Number | 8504943960 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | DO.1388 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1518064583 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bascom Kyle Bradshaw by the Centers for Medicare & Medicaid Services (CMS)?
The Bascom Kyle Bradshaw has been assigned the NPI (National Provider Identifier) 1518064583. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Bascom Kyle Bradshaw is geographically located?
The Bascom Kyle Bradshaw is physically situated at the following location: 2191 E Johnson Ave, Pensacola, FL, 325146029.
What is Bascom Kyle Bradshaw's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bascom Kyle Bradshaw is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
When was the Bascom Kyle Bradshaw's 1518064583 issued?
The Bascom Kyle Bradshaw's 1518064583 was issued on 2006-09-20.
When was the Bascom Kyle Bradshaw's information last updated?
The Bascom Kyle Bradshaw's information was last updated on 2023-02-01.