Joanie G Bradshaw, PA
Physician Assistant in Greenwich, Connecticut
1538393194- Practice location
- 779 North St, Greenwich, CT 06831-3105
- Phone
- 646-844-9602
- Fax
- 646-846-2310
- Last updated
- May 23, 2025
Joanie Garcia Bradshaw is a Physician Assistant based in Greenwich, CT. Joanie Garcia Bradshaw practices in Greenwich, CT and has the professional credentials of PA. The NPI Number for Joanie Garcia Bradshaw is 1538393194 and holds a License No. 013234 (NY). The current practice location address for Joanie Garcia Bradshaw is 779 North St, Greenwich, CT 06831-3105 and can be reached out via phone at 646-844-9602 and via fax at 646-846-2310.
Provider Profile Details
- NPI Number
- 1538393194
- Provider Name
- Joanie Garcia Bradshaw
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 779 North St, Greenwich, CT 06831-3105
- Phone Number
- 646-844-9602
- Fax Number
- 646-846-2310
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 12, 2009
- Last Update Date
- May 23, 2025
- Certification Date
- May 23, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 779 North St
Greenwich, CT 06831-3105 - City
- Greenwich
- State
- Connecticut
- Zip
- 06831-3105
- Phone Number
- 646-844-9602
- Fax Number
- 646-846-2310
Provider Business Mailing Address Details
- Address
- 204 Corlies Ave
Pelham, NY 10803-1904 - City
- Pelham
- State
- NY
- Zip
- 10803-1904
- Phone Number
- 646-844-9602
- Fax Number
- 646-846-2310
License Information
- License Number
- 013234
- License State
- NY
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Joanie G Bradshaw, PA?
The NPI number of Joanie G Bradshaw, PA is 1538393194. It was assigned on May 12, 2009 and is currently active in the NPPES registry.
What is the specialty of Joanie G Bradshaw, PA?
Joanie G Bradshaw, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 013234.
Where does Joanie G Bradshaw, PA practice?
The practice location is 779 North St, Greenwich, CT 06831-3105. The office can be reached at 646-844-9602 (phone) or 646-846-2310 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538393194 directly on the NPPES registry website.