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

Charles B Bradshaw, PHD

Individual provider Clinical Neuropsychologist · NPI 1780632851

Charles B Bradshaw, PHD is a Clinical Neuropsychologist in Syracuse, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

750 E Adams St Dept OF Neurology
Syracuse, NY 13210-2306
Phone: (315) 464-5016
Fax: (315) 464-5355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 010159 (NY)

Record details

NPI number1780632851
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESJanuary 23, 2009
Mailing address750 E Adams St, Syracuse, NY 13210-2306

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