JOHN ANDREW BRADSHAW MD
NPI 1124000518
Pediatrics in Ithaca, NY

Active since November 19, 2005PECOS Enrolled
10 GRAHAM RD W, ITHACA, NY 14850(607) 257-2188(607) 266-7341 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Andrew Bradshaw Md NPPES

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

JOHN ANDREW BRADSHAW MD (NPI 1124000518) is an individual pediatrics provider in Ithaca, New York, licensed in New York (216716) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124000518
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOHN ANDREW BRADSHAWCredential: MD
Location Address10 GRAHAM RD WIthaca, NY 14850-1055
Mailing Address10 Graham Rd WIthaca, NY 14850-1055 · (607) 257-2188 · Fax (607) 266-7341
Fax(607) 266-7341
Sole ProprietorNo
Enumeration DateNovember 19, 2005
Last NPPES UpdateSeptember 21, 2012
NPI 1124000518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 216716
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X · License 216716 (NY)
10 GRAHAM RD W, Ithaca, NY 14850

Other Identifiers 8

Medicare UPINH16959NY
Other161010811Commercial Carriers
Other00920290002Health Now
Other10867NY · Totalcare/managed Ma
Medicaid02223650NY
OtherV018315Tricare
Other000136319Blue Shield/hmo/excellus
Other161010811Rmsco

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Andrew Bradshaw Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
10 GRAHAM RD W
ITHACA, NY 14850
Social Worker
10 GRAHAM RD W
ITHACA, NY 14850
Pediatrics
10 GRAHAM RD W
ITHACA, NY 14850
Nurse Practitioner (Pediatrics)
10 GRAHAM RD W
ITHACA, NY 14850
Pediatrics
10 GRAHAM RD W
ITHACA, NY 14850
Nurse Practitioner (Family)
10 GRAHAM RD W
ITHACA, NY 14850
Nurse Practitioner (Pediatrics)
10 GRAHAM RD W
ITHACA, NY 14850
Pediatrics
10 GRAHAM RD W
ITHACA, NY 14850

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 John Bradshaw's NPI number?

The NPI number for John Bradshaw is 1124000518. It was assigned to this individual provider in the NPPES registry on November 19, 2005.

Where is John Bradshaw located?

John Bradshaw practices at 10 Graham Rd W, Ithaca, NY 14850. The listed phone number is (607) 257-2188.

What is John Bradshaw's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Bradshaw enrolled in Medicare?

Yes. John Bradshaw is registered in the Medicare PECOS enrollment system.

What insurance does John Bradshaw accept?

Health plans from Anthem Blue Cross and Blue Shield list John Bradshaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Bradshaw was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.