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

Bradley Shaw

Individual provider Professional Counselor · NPI 1104229871

Bradley Shaw is a Mental Health Counselor in Bryant, Arkansas. Qualified in 1996, 30 years ago. Practices with Arkansas Health Group, a 645-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
30
Licensed in
AR
In the registry since
2014

Practice location Address checks out

3708 Robinwood Cir
Bryant, AR 72022-8374
Phone: (501) 993-5465
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence P0002005 (AR)

Record details

NPI number1104229871
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 8, 2014
Last updated in NPPESOctober 8, 2014
Mailing address3708 Robinwood Cir, Bryant, AR 72022-8374

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Arkansas Health Group — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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