Crystal-Dawn Bradshaw, DPM
Podiatrist, Foot & Ankle Surgery in Wheeling, West Virginia
1780047969- Practice location
- 10 Medical Park Ste 203, Wheeling, WV 26003-6389
- Phone
- 304-243-8360
- Fax
- —
- Last updated
- October 7, 2022
Crystal-Dawn Bradshaw is a Podiatrist, Foot & Ankle Surgery based in Wheeling, WV. Crystal-Dawn Bradshaw practices in Wheeling, WV and has the professional credentials of DPM. The NPI Number for Crystal-Dawn Bradshaw is 1780047969 and holds a License No. 10499 (WV). The current practice location address for Crystal-Dawn Bradshaw is 10 Medical Park Ste 203, Wheeling, WV 26003-6389 and can be reached out via phone at 304-243-8360.
Provider Profile Details
- NPI Number
- 1780047969
- Provider Name
- Crystal-Dawn Bradshaw
- Credential
- DPM
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Medical Park Ste 203, Wheeling, WV 26003-6389
- Phone Number
- 304-243-8360
- Primary Taxonomy
- Podiatrist, Foot & Ankle Surgery · 213ES0103X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 4, 2016
- Last Update Date
- October 7, 2022
- Certification Date
- July 7, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Medical Park Ste 203
Wheeling, WV 26003-6389 - City
- Wheeling
- State
- West Virginia
- Zip
- 26003-6389
- Phone Number
- 304-243-8360
Provider Business Mailing Address Details
- Address
- Po Box 844572
Boston, MA 02284-4572 - City
- Boston
- State
- MA
- Zip
- 02284-4572
- Phone Number
- 301-933-7133
License Information
- License Number (1)
- 10499
- License State (1)
- WV
- Taxonomy (1)
- Podiatrist · 213E00000X
- License Number (2)
- 733
- License State (2)
- NC
- Taxonomy (2)
- Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Podiatrist, Foot & Ankle Surgery providers near Wheeling, WV
View all Podiatrist, Foot & Ankle Surgery providers in Wheeling →Frequently Asked Questions
What is the NPI number of Crystal-Dawn Bradshaw, DPM?
The NPI number of Crystal-Dawn Bradshaw, DPM is 1780047969. It was assigned on April 4, 2016 and is currently active in the NPPES registry.
What is the specialty of Crystal-Dawn Bradshaw, DPM?
Crystal-Dawn Bradshaw, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in WV under license number 10499.
Where does Crystal-Dawn Bradshaw, DPM practice?
The practice location is 10 Medical Park Ste 203, Wheeling, WV 26003-6389. The office can be reached at 304-243-8360 (phone).
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 1780047969 directly on the NPPES registry website.