Dr. Fredrick R Bradshaw , DO
Emergency Medicine • Gresham, OR
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. Fredrick Bradshaw has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Fredrick Bradshaw, DO was a registered Emergency Medicine practicing in Gresham, OR. Throughout an active medical career spanning 19 years, Dr. Bradshaw provided care at the practice location at 24800 SE STARK ST until profile deactivation on 2025-01-02.
Practice Location & Contact Primary Location
24800 Se Stark St
Gresham, OR 970303378
Specialty Benchmarks & Practice Insights
Comparative analytics for Emergency Medicine in Gresham, OR
Practicing in Gresham, OR (1105 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Pharmacist - Pharmacotherapy
Doctor of Pharmacy (Pharm.D.), BCPS
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 02, 2025
NPI status registered as active in NPPES database
Registered at 24800 SE STARK ST, GRESHAM, OR 970303378 (Tel: 5036741400)
Registered at 6312 SW CAPITOL HWY # 502, PORTLAND, OR 972391938 (Tel: 5034649034)
Recorded as FREDRICK BRADSHAW, DO
Emergency Medicine (License #DO10634 in OR)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
6312 Sw Capitol Hwy # 502
Portland, OR 972391938
Phone: 5034649034
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