DR. BASCOM KYLE BRADSHAW (D.O., M.P.H.) – Psychiatry Physician, NPI 1518064583

DR. BASCOM KYLE BRADSHAW (D.O., M.P.H.) is a healthcare provider. based in Pensacola, Florida. specializing in PSYCHIATRY. They hold the professional credentials D.O., M.P.H.. They hold a License No. 02002502A (IN). The NPI Number for DR. BASCOM KYLE BRADSHAW (D.O., M.P.H.) is 1518064583

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. BASCOM KYLE BRADSHAW (D.O., M.P.H.)
NPI
1518064583
Phone
(850) 494-3917
Address
2191 E JOHNSON AVE
Enumeration Date
20 September 2006
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
2529628124
Graduation Year
2001 (25 years ago)
PAC ID
1052632015
Group Practice PAC ID
7719209154
Professional Enrollment ID
I20181025002910
Address ID
NC278042237RO2460XDRXX400

Contacts

Secure Messaging
bbradshaw815903@direct.novanthealth.org
Secure Messaging
bbradshaw372359@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience93
Completeness85
Years active:19State licenses:5Other namesUpdated within 12 months

1,953 PSYCHIATRY in FL

Provider Addresses for DR. BASCOM KYLE BRADSHAW (D.O., M.P.H.)

  • 2191 E JOHNSON AVE

    PENSACOLA, FL 325146029

    Phone: (850) 494-3917

    Fax: (850) 494-3960

    Type: Location

  • 1225 NE 2nd Ave

    Portland, OR 972322003

    Phone: (503) 944-8000

    Type: Location

  • PO BOX 409075

    ATLANTA, GA 303849075

    Phone: (615) 373-7600

    Fax: (866) 347-1426

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150603001445IPsychiatryALTBD
I20150729009352IPsychiatryGATBD
I20181025002910IPsychiatryNCTBD
I20230921001342IPsychiatryORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes10935$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4542$0
99238Hospital discharge day management, 30 minutes or less3933$0
View full utilization report →

Insurance plans in this area (ZIP 32514)

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Provider's Procedures

DR. BASCOM KYLE BRADSHAW (D.O., M.P.H.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYAL90792Psychiatric diagnostic evaluation with medical services6565
PSYCHIATRYAL90833Psychotherapy, 30 minutes with patient and/or family member4012

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719209154View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YTX
Cardiovascular Disease (Cardiology), Interventional CardiologyNC
Nurse PractitionerNC
Internal Medicine, Critical Care (Intensivists)NC
Internal Medicine, Nephrology, Critical Care (Intensivists), Critical Care (Intensivists), NephrologyIL
Nurse PractitionerNC
Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Internal MedicineNC
Nurse PractitionerKS
Physician AssistantNC
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is DR. BASCOM KYLE BRADSHAW (D.O., M.P.H.)'s NPI number?
DR. BASCOM KYLE BRADSHAW (D.O., M.P.H.)'s NPI is 1518064583 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. BASCOM KYLE BRADSHAW (D.O., M.P.H.)?
You should see DR. BASCOM KYLE BRADSHAW (D.O., M.P.H.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. BASCOM KYLE BRADSHAW (D.O., M.P.H.)?
DR. BASCOM KYLE BRADSHAW (D.O., M.P.H.)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. BASCOM KYLE BRADSHAW (D.O., M.P.H.)?
Travel planning: use Pensacola, Florida as the reference point for DR. BASCOM KYLE BRADSHAW (D.O., M.P.H.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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