PHILLIP JOEL BRADSHAW MD
NPI 1225787443
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Phillip Bradshaw's NPI number?

The NPI number for Phillip Bradshaw is 1225787443. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is Phillip Bradshaw's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Bradshaw was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 23, 2022PECOS Enrolled

3535 MARKET ST FL 2, PHILADELPHIA, PA 19104(215) 746-7222 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phillip Joel Bradshaw Md NPPES

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

PHILLIP JOEL BRADSHAW MD (NPI 1225787443) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225787443

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePHILLIP JOEL BRADSHAWCredential: MD

Location Address3535 MARKET ST FL 2Philadelphia, PA 19104-3317

Mailing Address1919 Bainbridge StPhiladelphia, PA 19146-1430 · (603) 417-8257

Phone(215) 746-7222

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 23, 2022

NPPES CertifiedMarch 23, 2022

✔ NPI 1225787443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3535 MARKET ST FL 2, Philadelphia, PA 19104

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4082186853

PECOS Enrollment IDI20260611004622

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.

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.

COURTNEY SAW M.D.

Student in an Organized Health Care Education/Training Program

3535 MARKET ST FL 2, SECOND FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 746-7222

LINDSEY BRIER MD, PHD

Student in an Organized Health Care Education/Training Program