NPI 1104311539

Michael R Bradshaw, MD

Practitioner Psychiatry Physician Jacksonville, NC

Practice location

Address: 200 Tarpon Trl, Jacksonville, NC 28546-5287
Phone: (910) 938-1114
Fax: (910) 938-1118

Registered specialties (2)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 2022-00948 (NC)

Other Psychiatry & Neurology providers in North Carolina →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1104311539
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2018
Record last updated: 2 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.