Bradshaw Michael Mallard , PA
Physician Assistant • Taylor, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bradshaw Mallard has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Bradshaw Mallard, PA was a registered Physician Assistant practicing in Taylor, MI. Throughout an active medical career spanning 15 years, Bradshaw Mallard provided care at the practice location at 21801 GODDARD RD until profile deactivation on 2022-05-31.
Historical Medicare Part B clinical services included subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
21801 Goddard Rd
Wsupg Pm&r Oakwood
Taylor, MI 481804213
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Taylor, MI
Practicing in Taylor, MI (7057 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
|
109 | 95 | $256.17 | $118.08 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Clinical Neuropsychologist
Doctor of Philosophy (Ph.D.)
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Nurse Practitioner - Acute Care
Certified Nurse Practitioner
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 31, 2022
NPI status registered as active in NPPES database
Registered at 14585 NORTHLINE RD, SOUTHGATE, MI 481952469 (Tel: 7342840635)
Registered at PO BOX 4000, SOUTHFIELD, MI 480374000 (Tel: (734) 284-0635)
Recorded as BRADSHAW MALLARD, PA
Physician Assistant (License #5601001586 in MI)
NPI status registered as active in NPPES database
Registered at 21801 GODDARD RD, WSUPG PM&R OAKWOOD, TAYLOR, MI 481804213 (Tel: 3134387373)
Registered at 1560 E. MAPLE RD., SUITE 400- CREDENTIALING, TROY, MI 480831189 (Tel: 7342840865)
Recorded as BRADSHAW MALLARD, PA
Physician Assistant (License #5601001586 in MI)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
1560 E. Maple Rd., Suite 400- Credentialing
Troy, MI 480831189
Phone: 7342840865
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