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DAVID BRADSHAW
NPI 1225867070
Nurse Practitioner - Acute Care in Jacksonville, FL

Active since July 30, 2024PECOS EnrolledAccepts Medicare Assignment
3750 SAN JOSE PL STE 34, JACKSONVILLE, FL 32257(904) 902-8981(904) 906-1237 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David Bradshaw NPPES

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

DAVID BRADSHAW (NPI 1225867070) is an individual acute care provider in Jacksonville, Florida, licensed in Florida (11034343) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225867070
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameDAVID BRADSHAW
Location Address3750 SAN JOSE PL STE 34Jacksonville, FL 32257-8861
Mailing Address2782 Lantana Lakes Dr WJacksonville, FL 32246-4621
Phone(904) 902-8981
Fax(904) 906-1237
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 30, 2024
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1225867070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · 11034343
3750 SAN JOSE PL STE 34, Jacksonville, FL 32257
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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 and accepts Medicare assignment

David Bradshaw 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.

PECOS PAC ID9436685344
PECOS Enrollment IDI20241215000003
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 32257 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 David Bradshaw's NPI number?

The NPI number for David Bradshaw is 1225867070. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Where is David Bradshaw located?

David Bradshaw practices at 3750 San Jose Pl Ste 34, Jacksonville, FL 32257. The listed phone number is (904) 902-8981.

What is David Bradshaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is David Bradshaw enrolled in Medicare?

Yes. David 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.

When was this NPI record last updated?

The NPPES record for David Bradshaw was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.