Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JORDAN H BRADSHAW DO
NPI 1477249993
Family Medicine in Rome, GA

Q: What is Jordan Bradshaw's NPI number?

The NPI number for Jordan Bradshaw is 1477249993. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Q: What is Jordan Bradshaw's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Bradshaw was last updated on July 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 17, 2023PECOS Enrolled

15 RIVERBEND DR SW, ROME, GA 30161(706) 291-0084 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jordan H Bradshaw Do NPPES

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

JORDAN H BRADSHAW DO (NPI 1477249993) is an individual family medicine provider in Rome, Georgia, licensed in Georgia (111625) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477249993

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJORDAN H BRADSHAWCredential: DO

Location Address15 RIVERBEND DR SWRome, GA 30161-6005

Mailing Address420 E 2nd Ave Ste 103Rome, GA 30161-3210 · (706) 509-3000

Phone(706) 291-0084

Sole ProprietorNo

Enumeration DateApril 17, 2023

Last NPPES UpdateJuly 8, 2026

NPPES CertifiedJuly 8, 2026

✔ NPI 1477249993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 111625

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

15 RIVERBEND DR SW, Rome, GA 30161

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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)

Jordan H Bradshaw Do 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 30161 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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