MR. JOHNNIE MACK BRADSHAW PA-C
NPI 1740386267
Physician Assistant in Charlotte, NC

Active since September 15, 2006
2001 RANDOLPH RD, CHARLOTTE, NC 28207(704) 323-2000 Get Directions Write a Review

NPPES record last updated: February 28, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Johnnie Mack Bradshaw Pa-c NPPES

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

MR. JOHNNIE MACK BRADSHAW PA-C (NPI 1740386267) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (100701) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1740386267
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHNNIE MACK BRADSHAWCredential: PA-C
Location Address2001 RANDOLPH RDCharlotte, NC 28207-1215
Mailing Address4601 Park Rd, Suite 300Charlotte, NC 28209-3239 · (704) 323-2000
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateFebruary 28, 2014
NPI 1740386267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 100701
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2001 RANDOLPH RD, Charlotte, NC 28207

Other Identifiers 1

Other100701NC · Nc Medical License

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.

Orthopaedic Surgery
2001 RANDOLPH RD
CHARLOTTE, NC 28207
Orthopaedic Surgery
2001 RANDOLPH RD
CHARLOTTE, NC 28207
Orthopaedic Surgery
2001 RANDOLPH RD
CHARLOTTE, NC 28207
Orthopaedic Surgery
2001 RANDOLPH RD
CHARLOTTE, NC 28207
Orthopaedic Surgery
2001 RANDOLPH RD
CHARLOTTE, NC 28207
Physical Medicine & Rehabilitation (Pain Medicine)
2001 RANDOLPH RD
CHARLOTTE, NC 28207
Orthopaedic Surgery
2001 RANDOLPH RD
CHARLOTTE, NC 28207
Physician Assistant
2001 RANDOLPH RD
CHARLOTTE, NC 28207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740386267, enumerated as an "individual" on September 15, 2006.

The provider is located at 2001 RANDOLPH RD CHARLOTTE, NC 28207 and the phone number is (704) 323-2000.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.