DR. MARK BRADSHAW (M.D) – Hospitalist Physician, NPI 1316107428

DR. MARK BRADSHAW (M.D) is a healthcare provider. based in Hackensack, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 04-50270 (KS). The NPI Number for DR. MARK BRADSHAW (M.D) is 1316107428

Main info

Male
18 Years Of Experience
Name
DR. MARK BRADSHAW (M.D)
NPI
1316107428
Phone
(404) 367-3014
Address
2 UNIVERSITY PLZ STE 204
Enumeration Date
11 June 2008
Last Update Date
26 January 2026

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
4043673000
Graduation Year
2008 (18 years ago)
PAC ID
6608049275
Group Practice PAC ID
1951299163
Professional Enrollment ID
I20111026000362
Address ID
GA303091611AT35XXXNWXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness85
Years active:17State licenses:9Digital endpointsOther names

1,289 INTERNAL MEDICINE in KS

Provider Addresses for DR. MARK BRADSHAW (M.D)

  • 2 UNIVERSITY PLZ STE 204

    HACKENSACK, NJ 076016211

    Phone: (404) 367-3014

    Type: Mailing

  • 801 E Douglas Ave Fl 2nd

    Wichita, KS 672023515

    Phone: (551) 295-8223

    Type: Location

  • 3209 S Broadway Ste 229

    Edmond, OK 730134064

    Phone: (551) 295-8223

    Type: Location

  • 101 W Hefner Rd Fl 2nd

    Oklahoma City, OK 731146631

    Phone: (551) 295-8223

    Type: Location

  • 1255 HIGHWAY 54 W

    FAYETTEVILLE, GA 30214

    Phone: (770) 719-7000

    Type: Location

  • 635, Collier Road Northwest, A, Atlanta, Georgia, 30318, United States

    ATLANTA, GA 303091611

    Phone: (404) 367-3014

    Type: Mailing

  • 50 Glenlake Pkwy Ste 420

    Sandy Springs, GA 303283489

    Phone: (551) 295-8223

    Type: Location

  • 345 N Riverview St Ste 412

    Wichita, KS 672034202

    Phone: (551) 295-8223

    Type: Location

  • 345 N RIVERVIEW ST STE 412

    WICHITA, KS 672034202

    Phone: (551) 295-8223

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-05-26 • Largest payer in this snapshot: Currax Pharmaceuticals LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 9 Medicare enrollment records; no due dates published yet.

Enrollment records

9

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111026000362IInternal MedicineGATBD
I20241224001262IInternal MedicineKSTBD
I20250312003711IInternal MedicineOKTBD
I20251212002175IInternal MedicineMDTBD
I20251216004480IInternal MedicineFLTBD
I20251218004325IInternal MedicineDCTBD
I20260105003445IInternal MedicineNJTBD
I20260106003356IInternal MedicineMOTBD
I20260121002348IInternal MedicineVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month2,393690$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days622117$0
99487Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month555300$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes519119$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and467255$0
View full utilization report →

Insurance plans in this area (ZIP 07601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951299163View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Internal MedicineGA
H O S P I T A L I S TGA
Internal MedicineGA
Internal MedicineGA
Hospitalist, Internal MedicineIN
N E U R O L O G YGA
Nurse PractitionerGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Does DR. MARK BRADSHAW (M.D) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MARK BRADSHAW (M.D) uses 1316107428.
Does CMS list DR. MARK BRADSHAW (M.D) as active?
Yes — DR. MARK BRADSHAW (M.D) is active in the NPI listing used on this page.
What is DR. MARK BRADSHAW (M.D)'s specialty?
The listing groups DR. MARK BRADSHAW (M.D) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What area does DR. MARK BRADSHAW (M.D) serve?
DR. MARK BRADSHAW (M.D)'s listing highlights Hackensack, New Jersey; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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