Dr. Kenneth Bradshaw , DPM
Podiatrist • Clinton, MO
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, Dr. Kenneth Bradshaw has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kenneth Bradshaw, DPM was a registered Podiatrist practicing in Clinton, MO. Throughout an active medical career spanning 19 years, Dr. Bradshaw provided care at the practice location at 1602 N 2ND ST until profile deactivation on 2025-08-28.
Historical Medicare Part B clinical services included removal of fingernails or toenails, removal of noncancer thickened skin growth, more than 4 growths, drainage of blood or fluid accumulation. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
1602 N 2nd St
Clinton, MO 647351192
Specialty Benchmarks & Practice Insights
Comparative analytics for Podiatrist in Clinton, MO
Practicing in Clinton, MO (156 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 |
|---|---|---|---|---|
|
11721
Removal of fingernails or toenails, 6 or more nails
|
46 | 32 | $97.00 | $24.63 |
|
11057
Removal of noncancer thickened skin growth, more than 4 growths
|
45 | 31 | $147.96 | $27.50 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 213E00000X
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Family Nurse Practitioner
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Family Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Physician Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 28, 2025
NPI status registered as active in NPPES database
Registered at 1602 N 2ND ST, CLINTON, MO 647351192 (Tel: 6608858171)
Registered at 1602 N 2ND ST, CLINTON, MO 647351192 (Tel: 6608858171)
Recorded as KENNETH BRADSHAW, D.P.M.
Podiatrist (License #000385 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1602 N 2nd St
Clinton, MO 647351192
Phone: 6608858171
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