David C. Bradshaw, M.D. Apc

LBN: David C. Bradshaw, M.D. Apc
David C. Bradshaw, M.D. Apc is an health care organization with primary practice located at 19830 Lake Chabot Rd Suite C, Castro Valley CA 94546-4063. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. David C. Bradshaw, M.D. Apc can be contacted via phone (510) 964-0458, or through Bradshaw, David Cliett via phone (510) 964-0458.

Contact Information

Primary practice address
19830 Lake Chabot Rd Suite C Castro Valley CA 94546-4063
Phone: (510) 964-0458
Fax: (510) 964-0476
Website:
Map and Directions
Authorized official contact:
Name: Bradshaw, David Cliett Doctor of Medicine (MD)
Phone: (510) 964-0458

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X C38599 California

Profile Details

NPI number 1740504927
LBN Legal business name David C. Bradshaw, M.D. Apc
DBA Doing business as
Authorized official Bradshaw, David Cliett Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2010
Last updated Mar 17th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740504927 NPPES
California MEDICAID 00C385990

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