Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bradley Bradshaw, MD

Individual provider General Practice Physician · NPI 1972747574

Bradley Bradshaw, MD is a General Practice Physician in Springfield, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1904 S Shady Hill Ln
Springfield, MO 65809-2601
Phone: (417) 860-9044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence R5G73 (MO)

Record details

NPI number1972747574
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 27, 2009
Last updated in NPPESApril 27, 2009
Mailing address1904 S Shady Hill Ln, Springfield, MO 65809-2601

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