QUARTAY BRADSHAW FNP-C - NPI 1336086685 - Nurse Practitioner in Ellicott City, MD

Q: What is Quartay Bradshaw's NPI number?

The NPI number for Quartay Bradshaw is 1336086685. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Q: What is Quartay Bradshaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Quartay Bradshaw was last updated on May 27, 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.

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About Quartay Bradshaw Fnp-c NPPES

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

QUARTAY BRADSHAW FNP-C (NPI 1336086685) is an individual family provider in Ellicott City, Maryland, licensed in Maryland (R246912) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336086685

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameQUARTAY BRADSHAWCredential: FNP-C

Location Address3300A CENTENNIAL LNEllicott City, MD 21042-3600

Mailing Address3300a Centennial LnEllicott City, MD 21042-3600 · (410) 750-9439

Phone(410) 750-9439

Sole ProprietorYes

Enumeration DateMay 4, 2026

Last NPPES UpdateMay 27, 20263 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1336086685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MD · R246912

3300A CENTENNIAL LN, Ellicott City, MD 21042

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quartay Bradshaw Fnp-c 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 21042 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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 6

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

ASSEM MOHAMED

Pharmacist