| Dr Mark Standridge Bradshaw, MD | |
|
710 Falls Blvd S, Wynne, AR 72396-3514 | |
| (870) 238-2321 | |
| (870) 238-0114 |
| Full Name | Dr Mark Standridge Bradshaw |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 710 Falls Blvd S, Wynne, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346355518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-4753 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Crossridge Community Hospital | Wynne, AR | Hospital |
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Bernards Physician Clinics Inc | 7012311269 | 182 |
| Entity Name | St Bernard Community Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114937174 PECOS PAC ID: 7810897485 Enrollment ID: O20040110000022 |
| Entity Name | Doctors Health Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225091176 PECOS PAC ID: 7315844586 Enrollment ID: O20040204000461 |
| Entity Name | Doctors Health Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225221211 PECOS PAC ID: 7315844586 Enrollment ID: O20071106000100 |
| Entity Name | Wynne Physicians Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710517677 PECOS PAC ID: 2769810464 Enrollment ID: O20200317000293 |
| Entity Name | St Bernards Physician Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447923438 PECOS PAC ID: 7012311269 Enrollment ID: O20210810001875 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Standridge Bradshaw, MD Po Box 158, Wynne, AR 72396-0158 Ph: (870) 238-2321 | Dr Mark Standridge Bradshaw, MD 710 Falls Blvd S, Wynne, AR 72396-3514 Ph: (870) 238-2321 |
Sean Koch, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 Falls Blvd N, Wynne, AR 72396 Phone: 870-587-0800 | |
Dr. James Donald Cathey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Falls Blvd S, Wynne, AR 72396 Phone: 870-238-2321 Fax: 870-238-0114 | |
Mrs. Lesli Ashten Anderson, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Falls Blvd S, Wynne, AR 72396 Phone: 870-238-3261 Fax: 870-238-3115 | |
Dr. Timothy Baty, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Falls Blvd S, Wynne, AR 72396 Phone: 870-238-2321 | |
Trint Arlon Gunnels, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Falls Blvd S, Wynne, AR 72396 Phone: 870-238-3261 Fax: 870-238-3115 | |
Dr. Willard Gene Burks, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Falls Blvd S, Wynne, AR 72396 Phone: 870-238-2321 Fax: 870-238-0114 |