STACE TODD BRADSHAW (M.D.) – Diagnostic Radiology Physician, NPI 1760472138

STACE TODD BRADSHAW (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. M-2194 (GU). The NPI Number for STACE TODD BRADSHAW (M.D.) is 1760472138

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
STACE TODD BRADSHAW (M.D.)
NPI
1760472138
Phone
(972) 216-4411
Address
PO BOX 180065
Enumeration Date
26 October 2005
Last Update Date
9 April 2021

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
8008414236
Graduation Year
1990 (36 years ago)
PAC ID
9335183664
Group Practice PAC ID
2860451648
Professional Enrollment ID
I20051116000310
Address ID
TX75225XXXXDAXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for STACE TODD BRADSHAW (M.D.)

  • PO BOX 180065

    DALLAS, TX 752180065

    Phone: (972) 216-4411

    Fax: (972) 216-7346

    Type: Mailing

  • 529, North Galloway Avenue, Mesquite, Dallas County, Texas, 75149, United States

    SUITE 16

    MESQUITE, TX 751493420

    Phone: (972) 216-4411

    Fax: (972) 216-7346

    Type: Location

  • 11995 SINGLETREE LN STE 500

    EDEN PRAIRIE, MN 553445349

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    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: 2019-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20051116000310IDiagnostic RadiologyTXTBD
I20191115000823IDiagnostic RadiologyGUTBD

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
A9575Injection, gadoterate meglumine, 0.1 ml1,96014$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,60016$0
71045X-ray of chest, 1 view351295$0
71046X-ray of chest, 2 views300299$0
70450Ct scan head or brain without contrast174167$0
View full utilization report →

Insurance plans in this area (ZIP 75218)

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Provider's Procedures

STACE TODD BRADSHAW (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX71250CT scan chest2727
DIAGNOSTIC RADIOLOGYTX73110X-ray of wrist, minimum of 3 views2018

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: 2860451648View full group profile
NameSpecialtyState
Diagnostic RadiologyCT
Diagnostic Radiology, Interventional RadiologyNM
Diagnostic RadiologyIN
Diagnostic RadiologyMA
Diagnostic RadiologyWA
Diagnostic RadiologyNM
Diagnostic Radiology, Interventional RadiologyNM
Diagnostic RadiologyNM
Diagnostic RadiologyIL
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

What is the standard ID for STACE TODD BRADSHAW (M.D.) in the U.S.?
In the U.S., STACE TODD BRADSHAW (M.D.) is identified by NPI 1760472138.
Is STACE TODD BRADSHAW (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists STACE TODD BRADSHAW (M.D.) as active.
What services align with STACE TODD BRADSHAW (M.D.)'s listing?
STACE TODD BRADSHAW (M.D.)'s public classification highlights Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to STACE TODD BRADSHAW (M.D.)?
The directory associates STACE TODD BRADSHAW (M.D.) with Dallas, Texas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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