Dr Charles Shannon Bradford Jr, MD in Atlanta, GA

Dr Charles Shannon Bradford Jr, MD is a medicare enrolled "Internal Medicine" physician in Atlanta, Georgia. He graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Laureate Medical Group At Northside, Llc and his current practice location is 1110 W Peachtree St Nw Ste 1100, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 892-2131.

Dr Charles Shannon Bradford Jr is licensed to practice in Georgia (license number 070347) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811215643.

Contact Information

	Dr Charles Shannon Bradford Jr, MD
	1110 W Peachtree St Nw Ste 1100, Atlanta, GA 30309-3609
	(404) 892-2131
	(404) 215-9222

Map and Direction

Physician's Profile

Full Name	Dr Charles Shannon Bradford Jr
Gender	Male
Speciality	Internal Medicine
Experience	15 Years
Location	1110 W Peachtree St Nw Ste 1100, Atlanta, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Charles Shannon Bradford Jr graduated from medical school in 2010

NPI Data:

NPI Number: 1811215643
Provider Enumeration Date: 05/04/2010
Last Update Date: 07/25/2024

Medicare PECOS Information:

PECOS PAC ID: 3870735590
Enrollment ID: I20130809000023

Medical Identifiers

Medical identifiers for Dr Charles Shannon Bradford Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811215643	NPI	-	NPPES
014816300	Medicaid	FL
003136131A	Medicaid	GA
GA1558	Medicaid	SC
P01476268	Other	FL	RAILROAD MEDICARE
P01207903	Other	GA	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	ME123871 (Florida)	Secondary
208M00000X	Hospitalist	070347 (Georgia)	Secondary
207R00000X	Internal Medicine	070347 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northside Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Laureate Medical Group At Northside, Llc	2668458530	73

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Charles Shannon Bradford Jr allows following entities to bill medicare on his behalf.

Entity Name	Piedmont Hospitalist Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548219660 PECOS PAC ID: 1951299163 Enrollment ID: O20040309000820

Entity Name	Laureate Medical Group At Northside, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811037336 PECOS PAC ID: 2668458530 Enrollment ID: O20040629001613

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles Shannon Bradford Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Charles Shannon Bradford Jr, MD 1110 W Peachtree St Nw Ste 1100, Atlanta, GA 30309-3609 Ph: (404) 892-2131	Dr Charles Shannon Bradford Jr, MD 1110 W Peachtree St Nw Ste 1100, Atlanta, GA 30309-3609 Ph: (404) 892-2131

Reviews and Comments

Internal Medicine Doctors in Atlanta, GA

Khadeja Jamilia Johnson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw Ste 275, Atlanta, GA 30318 Phone: 404-756-1290
Dr. Matthew J. Wilson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 Phone: 404-252-7970 Fax: 404-250-0553
Dr. Shannon Walker Ike, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-1000
Kajal Patel, M.D, M.P.H Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-2700
Dr. Earl Stewart Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 Paces Ferry Rd Se Ste 460, Atlanta, GA 30339 Phone: 678-556-4950
Ms. Charvette Gaitone Shumaker-kirk, AGACNP-; AGPCNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36 Linden Ave Ne, Atlanta, GA 30308 Phone: 404-778-1900
Mary E. Bergh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 980 Johnson Ferry Rd Ste 520, Atlanta, GA 30342 Phone: 404-303-3320 Fax: 404-303-3464

Dr Charles Shannon Bradford Jr, MD - Medicare Internal Medicine in Atlanta, GA