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Edward Willard Bradshaw III, PA-C

Surgical Physician Assistant in Lake Havasu City, AZ · enumerated 2006 · practices at Panacea Brain and Spine, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235192774

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Registry record

Entity type Individual (Type 1)
Name Edward Willard Bradshaw III
Credential PA-C
Sex Male
Practice address 72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ, 86403
Phone (928) 453-2211
Fax (928) 453-2213
Enumeration date Apr 7, 2006
Last updated in NPPES Jun 29, 2020

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA2576 (FL) Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5357 (AZ) Primary

Other identifiers

Identifier Type State Issuer
040403 Medicaid AZ -
291637100 Medicaid FL -
P00221346 Other - RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Edward Bradshaw?
The National Provider Identifier (NPI) for Edward Bradshaw is 1235192774, a Type 1 (individual) record in the CMS NPPES registry.
Where does Edward Bradshaw practice?
The practice location on file with NPPES is in Lake Havasu City, AZ. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-29.