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Contact Information

CHARLES M BRADSHAW, M.D., P.A.
2941 OAK PARK CIR STE 200
FORT WORTH, TX76109-1852
 Phone: 817-332-7433
 Fax: 817-394-6282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CHARLES M BRADSHAW · (Male)

NPI # 1104866714
Status Active
Credentials M.D., P.A.
Entity Individual
Enumeration date 06/08/2006
Last updated 03/31/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TX License # D2367
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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