Ronny Bradshaw, is a
Case Manager/care Coordinator based in Shepherdsville, Kentucky. Ronny Bradshaw is licensed to practice in * (Not Available) (license number ) and his current practice location is
130 S Joe B. Hall Ave, Shepherdsville, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(502) 589-8600.
NPI number for Ronny Bradshaw is 1417150111 and his current mailing address is 101 W Muhammad Ali Blvd, Louisville, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417150111.
Healthcare Provider's Profile
| Full Name | Ronny Bradshaw |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 130 S Joe B. Hall Ave, Shepherdsville, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417150111
- Provider Enumeration Date: 06/08/2007
- Last Update Date: 06/09/2011
Medical Identifiers
Medical identifiers for Ronny Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417150111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ronny Bradshaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ronny Bradshaw,
101 W Muhammad Ali Blvd,
Louisville, KY 40202-1423
Ph: () - | Ronny Bradshaw,
130 S Joe B. Hall Ave,
Shepherdsville, KY 40165-0690
Ph: (502) 589-8600 |
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