Provider Demographics
NPI:1316684236
Name:BRADSHAW SLEEP SOLUTIONS,LLC
Entity type:Organization
Organization Name:BRADSHAW SLEEP SOLUTIONS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:602-538-7474
Mailing Address - Street 1:5401 N 22ND ST STE C
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-7467
Mailing Address - Country:US
Mailing Address - Phone:602-538-7474
Mailing Address - Fax:
Practice Address - Street 1:5401 N 22ND ST STE C
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-7467
Practice Address - Country:US
Practice Address - Phone:602-538-7474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-13
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty