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JACE BRADSHAW
NPI 1235717943
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since April 01, 2021PECOS Enrolled
1830 E MONUMENT ST STE 6-100, BALTIMORE, MD 21287(410) 955-5000 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jace Bradshaw NPPES

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

JACE BRADSHAW (NPI 1235717943) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235717943
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACE BRADSHAW
Location Address1830 E MONUMENT ST STE 6-100Baltimore, MD 21287-0020
Mailing Address1830 E Monument St Ste 6-100Baltimore, MD 21287-0020
Phone(410) 955-5000
Sole ProprietorNo
Enumeration DateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1235717943 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.

1830 E MONUMENT ST STE 6-100, Baltimore, MD 21287
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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)

Jace Bradshaw 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.

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.

POONAM PATEL M.D.
Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-3380
DR. JONATHAN ANDREW CLARE MD
Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-5107
STEPHEN D GRAGG PHD
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-5107
GEOFFREY GAO
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-3380
THEODORE FAGRELIUS MD
Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-5107
NELSON MALONE MPH
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (804) 496-8322
AARON STERN MD
Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-3380
KYLE JONES MD
Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-3380

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 Jace Bradshaw's NPI number?

The NPI number for Jace Bradshaw is 1235717943. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Jace Bradshaw located?

Jace Bradshaw practices at 1830 E Monument St Ste 6-100, Baltimore, MD 21287. The listed phone number is (410) 955-5000.

What is Jace 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 Jace Bradshaw enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jace Bradshaw was last updated on April 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.