Active NPIIndividual provider

Kenneth G Bradshaw, DO

Family Medicine in Newport, Rhode Island

NPI Number1932182615
Practice location
19 Friendship St, Family Physicians Of Newport, Suite 130, Newport, RI 02840-2272
Fax
—
Last updated
July 11, 2013

Kenneth Gerard Bradshaw is a Family Medicine based in Newport, RI. Kenneth Gerard Bradshaw practices in Newport, RI and has the professional credentials of DO. The NPI Number for Kenneth Gerard Bradshaw is 1932182615 and holds a License No. 158732 (MA). The current practice location address for Kenneth Gerard Bradshaw is 19 Friendship St, Family Physicians Of Newport, Suite 130, Newport, RI 02840-2272 and can be reached out via phone at 401-845-2113.

Provider Profile Details

NPI Number
1932182615
Provider Name
Kenneth Gerard Bradshaw
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
19 Friendship St, Family Physicians Of Newport, Suite 130, Newport, RI 02840-2272
Phone Number
401-845-2113
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
November 27, 2005
Last Update Date
July 11, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Friendship St
Family Physicians Of Newport, Suite 130
Newport, RI 02840-2272
Zip
02840-2272
Phone Number
401-845-2113
Newport, RI 02840Get directions →

Provider Business Mailing Address Details

Address
275 Broadway
Nhcc Medical Associates, Unit 2
Newport, RI 02840-2612
City
Newport
State
RI
Zip
02840-2612
Phone Number
401-845-1473

License Information

License Number
158732
License State
MA
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kenneth G Bradshaw, DO?

The NPI number of Kenneth G Bradshaw, DO is 1932182615. It was assigned on November 27, 2005 and is currently active in the NPPES registry.

What is the specialty of Kenneth G Bradshaw, DO?

Kenneth G Bradshaw, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 158732.

Where does Kenneth G Bradshaw, DO practice?

The practice location is 19 Friendship St, Family Physicians Of Newport, Suite 130, Newport, RI 02840-2272. The office can be reached at 401-845-2113 (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 1932182615 directly on the NPPES registry website.

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