IndividualActive
J. Bradshaw, M.D.11/11/1952
NPI 1902893019 · Pediatrics Physician · Mount Pleasant, TX
Provider details
- NPI number
- 1902893019
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.11/11/1952
- Sex
- Male
- Sole proprietor
- No
- License
- F8808 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2001 N Jefferson Ave
Suite 300
Mount Pleasant, TX 75455-2371
Phone: (903) 572-9823
Fax: (903) 572-4812
Approximate (ZIP-level) locationGet directions
Mailing address
2001 N Jefferson Ave
Mount Pleasant, TX 75455-2371
Registry dates
- Enumerated
- 2005-10-04
- Last updated
- 2013-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.