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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADLEY REX SHUMWAY, D.O.

Active Sole Proprietor

BRADLEY REX SHUMWAY, D.O. is a Family Medicine healthcare provider located in MESA, Arizona. NPI 1346652864 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MESA, AZ

Registration Details

NPI Number
1346652864
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2014 (12.196491060379 yrs)
Last Updated
Jan 14, 2020
License
006808 (AZ)
Sole Proprietor
Yes

Practice Information

Address
4447 E BROADWAY RD STE 107
MESA, AZ, 852062018
Browse AZ providers · Browse ZIP 85206
Phone
4805509610
Fax
4805006856
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in MESA, AZ

Name Credential NPI
DR. ROBERT DONALD BABYAR M.D. 1558364646
RICHARD LORIN MERKLEY M.D. 1326041096
THOMAS EDWARD SUTTON M.D. 1225031982
DONALD LYNN GRINER D.O. 1821091497
COLLIN UDALL M.D. 1861495434
GARY BEITLER MD 1639174493
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.