Organization · Type 2 NPI

Bradshaw Medical Clinic, PC

Clinic/Center · Lebanon, TN

NPI number 1255406450 Active

Practice location

1409 W. Baddour Pkwy, Suite D
Lebanon, TN 37087-2599

Fax (615) 547-1825

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XTN4167 (TN)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1255406450

Bradshaw Medical Clinic, PC's National Provider Identifier is 1255406450, issued on Nov 22, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lebanon, TN. The record was last updated on Mar 6, 2013.