1. Home
  2. Directory
  3. North Carolina
  4. Greensboro
  5. Oral Maxillofacial Surgery
  6. NPI Profile

SHENAN BRADSHAW DDS MD PA
NPI 1114710472
Oral & Maxillofacial Surgery in Greensboro, NC

Active since May 28, 2025
2105 BRAXTON LN STE 102, GREENSBORO, NC 27408(336) 273-1000 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shenan Bradshaw Dds Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHENAN BRADSHAW DDS MD PA (NPI 1114710472), doing business as Piedmont Oral And Maxillofacial Surgery, is a healthcare organization registered as an oral & maxillofacial surgery in Greensboro, North Carolina and active in the NPI registry since May 2025. The organization maintains a secondary practice location in Burlington and lists Allison Jarrell, Practice Leader, as its authorized official.

NPPES Registry Identity

NPI1114710472
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameSHENAN BRADSHAW DDS MD PA
Location Address2105 BRAXTON LN STE 102Greensboro, NC 27408-2863
Mailing Address2105 Braxton Ln Ste 102Greensboro, NC 27408-2863
Phone(336) 273-1000
Organization SubpartYes
Authorized OfficialAllison JarrellPractice Leader · (336) 273-1000
Enumeration DateMay 28, 2025
NPPES CertifiedMay 28, 2025
✔ NPI 1114710472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
2105 BRAXTON LN STE 102, Greensboro, NC 27408
Open in Google Maps ↗

Other Names 1

Doing Business AsPiedmont Oral And Maxillofacial Surgery

Secondary Practice Location 1

Location 13493 Forestdale Dr Ste 102Burlington, NC 27215-8246 · Phone (336) 417-5933

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shenan Bradshaw Dds Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Shenan Bradshaw DDS MD PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

James Belcher, DDS
Oral Surgery
NPI 1154494284
301 EAST WENDOVER AVE SUITE 111 PIEDMONT ORAL MAXILLOFACIAL FAC CTR
Greensboro, NC 27401
(336) 273-1000
✔ PECOS✔ Accepts Medicare3.0 mi
Steven Gollehon, MD DDS FACS
Oral Surgery
NPI 1952375784
301 EAST WENDOVER AVE SUITE 111
Greensboro, NC 27401
(336) 273-1000
✔ PECOS✔ Accepts Medicare3.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shenan Bradshaw Dds MD PA's NPI number?

The NPI number for Shenan Bradshaw Dds MD PA is 1114710472. It was assigned to this organization in the NPPES registry on May 28, 2025. The provider is doing business as Piedmont Oral and Maxillofacial Surgery.

Where is Shenan Bradshaw Dds MD PA located?

Shenan Bradshaw Dds MD PA is located at 2105 Braxton Ln Ste 102, Greensboro, NC 27408. The listed phone number is (336) 273-1000.

What is Shenan Bradshaw Dds MD PA's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Shenan Bradshaw Dds MD PA enrolled in Medicare?

Yes. Shenan Bradshaw Dds MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shenan Bradshaw Dds MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Oral Surgery, reassign their Medicare billing to Shenan Bradshaw Dds MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shenan Bradshaw Dds MD PA was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.