Devin Bradshaw, DO in Las Vegas, NV - Student in an Organized Health Care Education/Training Program

Devin Bradshaw, DO is a Student In An Organized Health Care Education/training Program physician based in Las Vegas, Nevada. Devin Bradshaw is licensed to practice in * (Not Available) (license number ) and his current practice location is 620 Shadow Ln, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at (702) 477-6572.

NPI number for Devin Bradshaw is 1104445311 and his current mailing address is 620 Shadow Ln, Las Vegas, Nevada. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104445311.

Contact Information

	Devin Bradshaw, DO
	620 Shadow Ln, Las Vegas, NV 89106-4119
	(702) 477-6572
	Not Available

Physician's Profile

Full Name	Devin Bradshaw
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	620 Shadow Ln, Las Vegas, Nevada
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1104445311
Provider Enumeration Date: 04/09/2020
Last Update Date: 01/30/2023

Medical Identifiers

Medical identifiers for Devin Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104445311	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	DO3290 (Nevada)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Devin Bradshaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Devin Bradshaw, DO 620 Shadow Ln, Las Vegas, NV 89106-4119 Ph: () -	Devin Bradshaw, DO 620 Shadow Ln, Las Vegas, NV 89106-4119 Ph: (702) 477-6572

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Devin Bradshaw, DO - Student in an Organized Health Care Education/Training Program in Las Vegas, NV