BASCOM K BRADSHAW

BLUE RIDGE HEALTHCARE MEDICAL GROUP INC

Dr BASCOM K BRADSHAW is a male medical professional, specializing in Psychiatry. He graduated in 2001.

Contact

BLUE RIDGE HEALTHCARE MEDICAL GROUP INC

2201 S STERLING ST
MORGANTON
NC
286554044

Tel: 8285806753

BASCOM K BRADSHAW Information

Npi 1518064583
Pac Id 1052632015
Professional Enrollment Id I20181025002910
Last Name BRADSHAW
First Name BASCOM
Middle Name K
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PSYCHIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BLUE RIDGE HEALTHCARE MEDICAL GROUP INC
Group Practice Pac Id 9436159712
Number Of Group Practice Members 174
Line 1 Street Address 2201 S STERLING ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MORGANTON
State NC
Zip Code 286554044
Phone Number 8285806753
Hospital Affiliation Ccn 1 340075
Hospital Affiliation Lbn 1 CAROLINAS HEALTHCARE SYSTEM-BLUE RIDGE
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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