PHILLIP JOEL BRADSHAW MD
NPI 1225787443
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
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, is affiliated with Pennsylvania Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Phillip Joel Bradshaw Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Phillip Bradshaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Pennsylvania Hospital
Acute Care Hospitals · Philadelphia, PAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 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.
Where is Phillip Bradshaw located?
Phillip Bradshaw practices at 3535 Market St Fl 2, Philadelphia, PA 19104. The listed phone number is (215) 746-7222.
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.
Is Phillip Bradshaw enrolled in Medicare?
Yes. Phillip Bradshaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Phillip Bradshaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Bradshaw reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The 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 Phillip Bradshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Phillip Bradshaw affiliated with any hospitals?
According to CMS data, Phillip Bradshaw is affiliated with Pennsylvania Hospital.
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.
# Phillip Joel Bradshaw, MD · NPI 1225787443
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 23, 2022.
## Identity
- **NPI:** 1225787443 (Entity type: Individual)
- **Enumerated:** March 23, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3535 MARKET ST FL 2, Philadelphia, PA 19104-3317
- **Phone:** (215) 746-7222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Penn-Medical Group (NPI 1821486846, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1225787443) · Data from the CMS NPPES public registry.