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NPI Code Detail

MEDICARE: DR. SARAH EVELYN BRADSHAW M.D.

MEDICARE: DR. SARAH EVELYN BRADSHAW M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2012011120MO
2207Q00000XFamily Medicine Physician0435805KS
3207K00000XAllergy & Immunology Physician0435805KS

General Provider Information

NPI Number : 1134362015
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH EVELYN BRADSHAW M.D.
Provider Business Mailing Address
First Line : PO BOX 1832
Second Line :
City : PITTSBURG
State : KS
Zip : 66762-1832
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2051 N STATE ST
Second Line :
City : IOLA
State : KS
Zip : 66749-1677
Country : US
Telephone Number : 620-380-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2009
Last Update Date : 12/19/2025

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