Devin Bradshaw, DO is a
Student In An Organized Health Care Education/training Program physician based in Las Vegas, Nevada. Devin Bradshaw is licensed to practice in * (Not Available) (license number ) and his current practice location is 620 Shadow Ln, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 477-6572.
NPI number for Devin Bradshaw is 1104445311 and his current mailing address is 620 Shadow Ln, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104445311.
Physician's Profile
Full Name | Devin Bradshaw |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 620 Shadow Ln, Las Vegas, Nevada |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104445311
- Provider Enumeration Date: 04/09/2020
- Last Update Date: 01/30/2023
Medical Identifiers
Medical identifiers for Devin Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104445311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | DO3290 (Nevada) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Devin 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 |
Devin Bradshaw, DO 620 Shadow Ln, Las Vegas, NV 89106-4119 Ph: () - | Devin Bradshaw, DO 620 Shadow Ln, Las Vegas, NV 89106-4119 Ph: (702) 477-6572 |
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