Dr. Bascom Kyle Bradshaw

D.O., M.P.H. | Psychiatry | 23+ years Exp


  2191 E Johnson Ave, Pensacola
     Florida, 32514-6029
  850-494-3917    850-494-3960 Maps & Directions
Dr. Bascom Kyle Bradshaw is a Pensacola, Florida based psychiatrist with 23 years of experience in Psychiatry. He completed his graduation in 2001. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Bascom Kyle Bradshaw is 2018-01630 for Psychiatry in North Carolina. His current practice location is 2191 E Johnson Ave, Pensacola. Patients can reach him at 850-494-3917 or can fax him at 850-494-3960. Dr. Bascom Kyle Bradshaw is D.O., M.P.H. in Psychiatry and his NPI number (Unique professional ID assigned by NPPES) is 1518064583.
Dr. Bascom Kyle Bradshaw specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Profile:
Dr. Bascom Kyle Bradshaw speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Dr. Bascom Kyle Bradshaw
Specialization: Psychiatry
Gender:Male
Credentials: D.O., M.P.H.
Experience: 23+ years
Medical School Attended:Other
Graduation Year:2001
Accepts Medicare Assignment:Yes
Practice Address:2191 E Johnson Ave, Pensacola,
Florida, 32514-6029
Phone:850-494-3917
Fax:850-494-3960
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 1052632015
Enrollment ID: I20150603001445
NPI Number: 1518064583
NPI Enumeration Date: 20 Sep, 2006
NPI Last Update On: 01 Feb, 2023

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bascom Kyle Bradshaw are as mentioned below.
License NumberSpecializationStateStatus
2018-01630Psychiatry North CarolinaPrimary
DO.1388Psychiatry AlabamaSecondary
02002502APsychiatry IndianaSecondary
73929Psychiatry GeorgiaSecondary
02002502APreventive Medicine IndianaSecondary
OS16451Psychiatry FloridaSecondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(010001)Dothan, ALAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Bascom Kyle Bradshaw is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Houston County Healthcare Authority (9436062296)189
Phoebe Physician Group Inc (8426112350)339
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Bascom Kyle Bradshaw such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1518064583MedicaidNorth Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Dr. Bascom Kyle Bradshaw
Po Box 409075,
Atlanta, Georgia
Zip: 30384-9075
Phone Number: 615-373-7600
Fax Number: 866-347-1426
Patients can reach Dr. Bascom Kyle Bradshaw at 2191 E Johnson Ave, Pensacola, Florida or can call to book an appointment on 850-494-3917.
Comments/ Reviews:

*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.