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

Stace Todd Bradshaw, MD

Individual provider Diagnostic Radiology Physician · NPI 1760472138

Stace Todd Bradshaw, MD is a Diagnostic Radiology in Eden Prairie, Minnesota. Graduated from Baylor College of Medicine in 1990, 36 years ago. Practices with Radiology Associates of Albuquerque PA, a 102-clinician group and accepts Medicare assignment. Licensed in Guam and Texas.

Years since qualifying
36
Trained at
Baylor College of Medicine
Licensed in
GU, TX
In the registry since
2005
Specialties on file
2
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

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone: (952) 595-1301
Fax: (612) 294-4903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence H9816 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence M-2194 (GU)

Record details

NPI number1760472138
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2005
Last updated in NPPESApril 9, 2021
Certification dateApril 9, 2021
Mailing address11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Radiology Associates Of Albuquerque Pa — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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