Dr. Bascom Kyle Bradshaw
D.O., M.P.H. | Psychiatry | 25+ years Exp
2191 E Johnson Ave, Pensacola
Florida, 32514-6029
850-494-3917 850-494-3960
Maps & DirectionsDr. Bascom Kyle Bradshaw is a Pensacola, Florida based psychiatrist with 25 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: | 25+ 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: | 16 Apr, 2025 |
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 Number | Specialization | State | Status | |
| 2018-01630 | Psychiatry | North Carolina | Primary | |
| 02002502A | Preventive Medicine | Indiana | Secondary | |
| DO.1388 | Psychiatry | Alabama | Secondary | |
| 02002502A | Psychiatry | Indiana | Secondary | |
| 73929 | Psychiatry | Georgia | Secondary | |
| OS16451 | Psychiatry | Florida | Secondary | |
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, AL | Acute 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.
| Identifier | Type | State | Issuer |
| 1518064583 | Medicaid | North 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:
Read all the reviews posted for Dr. Bascom Kyle Bradshaw below. You may also share your own experience with Dr. Bascom Kyle Bradshaw. Your feedback can help others make better decisions.
**
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.