| Dr William L Bradshaw Jr, DO | |
|
822 W 4th St, Leadville, CO 80461-3861 | |
| (719) 486-7164 | |
| (719) 486-7159 |
| Full Name | Dr William L Bradshaw Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 822 W 4th St, Leadville, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649204918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 44701 (Colorado) | Primary |
| Entity Name | Logan Health - Conrad |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467445049 PECOS PAC ID: 8921917501 Enrollment ID: O20040304001137 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William L Bradshaw Jr, DO 326 W 7th St, Leadville, CO 80461-3526 Ph: (719) 486-0943 | Dr William L Bradshaw Jr, DO 822 W 4th St, Leadville, CO 80461-3861 Ph: (719) 486-7164 |
Dr. Dana Lynn Greene, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 W 3rd St, Leadville, CO 80461 Phone: 970-692-4448 | |
Dr. Lisa P. Zwerdlinger, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 735 Us Highway 24, Leadville, CO 80461 Phone: 719-486-0500 Fax: 719-486-3966 | |
Charles Warren Lackey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 822 W 4th St, Leadville, CO 80461 Phone: 719-486-1264 |