Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL BRADSHAW
Active Sole ProprietorMICHAEL BRADSHAW is a Supports Brokerage Agency healthcare provider located in ALTOONA, Pennsylvania. NPI 1619747334 is currently active in the NPPES registry. Verify at CMS.
Supports Brokerage Agency · ALTOONA, PA
Registration Details
- NPI Number
- 1619747334
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2024 (2.6479529631745 yrs)
- Last Updated
- Jan 3, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1548 WALTON AVEALTOONA, PA, 166024617Browse PA providers · Browse ZIP 16602
- Phone
- 4125142394
- Primary Specialty
-
Supports Brokerage Agency
251X00000X
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.