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Contact Information

JOHN A BRADSHAW, MD
10 GRAHAM RD W
ITHACA, NY14850-1055
 Phone: 607-257-2188
 Fax: 607-266-7341
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JOHN A BRADSHAW · (Male)

NPI # 1124000518
Status Active
Credentials MD
Entity Individual
Enumeration date 11/19/2005
Last updated 09/21/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 216716
  • NY Medicaid 02223650
  • Other 000136319 BLUE SHIELD/HMO/EXCELLUS
  • Other 161010811 COMMERCIAL CARRIERS
  • Other 00920290002 HEALTH NOW
  • Other 161010811 RMSCO
  • Other V018315 TRICARE
  • NY Other 10867 TOTALCARE/MANAGED MA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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