Stace Todd Bradshaw, M.D.
NPI 1760472138ActiveIndividual· Radiology, Diagnostic Radiology· Eden Prairie, MN
Radiology, Diagnostic Radiology (M.D.) in Eden Prairie, Minnesota, trained at Baylor College of Medicine (class of 1990). Medicare paid $113,231 for services to 2,817 patients in 2024.
Overview
| NPI | 1760472138 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 26, 2005 |
| Last updated in NPPES | Apr 9, 2021 |
| Certified by provider | Apr 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | H9816 | TX |
| Radiology, Diagnostic Radiology | 2085R0202X | M-2194 | GU |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (GU); Practitioner - Diagnostic Radiology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,817 |
|---|---|
| Services billed | 7,221 across 138 procedure codes |
| Paid by Medicare | $113,231 |
Education and affiliations
| Medical school | Baylor College of Medicine |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Guam Healthcare Development IncorporatedDededo, GU · 207 clinicians
- Guam Memorial HospitalTamuning, GU · 131 clinicians
- Radiology Associates of Albuquerque PACorona Del Mar, CA · 102 clinicians
- Guam X-RayTamuning, GU · 30 clinicians
- Advanced Imaging LLCHartford, CT · 16 clinicians
Hospital affiliations
- Lincoln County Medical CenterRuidoso, NM
- Plains Regional Medical CenterClovis, NM
- Presbyterian Espanola HospitalEspanola, NM
- Presbyterian HospitalAlbuquerque, NM
- Presbyterian Santa Fe Medical CenterSanta Fe, NM
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All Radiology, Diagnostic Radiology providers in Minnesota →