Dr Mark Bradshaw, MD is a medicare enrolled "Hospitalist" physician in Sandy Springs, Georgia. He went to Morehouse School Of Medicine and graduated in 2008 and has 18 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Ennoble Hc Dmv Llc, Mobile Medical Ii Llc, Piedmont Hospitalist Physicians Llc, Ennoble Hc Nj Pc, Ennoble Hc Dmv Llc, Ennoble Hc Dmv Llc, Select Rehabilitation, Llc, Healthy Ever After Inc, Ennoble Hc Nj Pc, Ennoble Hc Nj Pc, Ennoble Hc Dmv Llc and his current practice location is
50 Glenlake Pkwy Ste 420, Sandy Springs, Georgia. You can reach out to his office (for appointments etc.) via phone at
(551) 295-8223.
Dr Mark Bradshaw is licensed to practice in Georgia (license number 066574) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1316107428.
Physician's Profile
| Full Name | Dr Mark Bradshaw |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 18 Years |
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| Location | 50 Glenlake Pkwy Ste 420, Sandy Springs, Georgia |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mark Bradshaw attended and graduated from Morehouse School Of Medicine in 2008
NPI Data:
- NPI Number: 1316107428
- Provider Enumeration Date: 06/11/2008
- Last Update Date: 06/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 6608049275
- Enrollment ID: I20251218004325
Medical Identifiers
Medical identifiers for Dr Mark Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316107428 | NPI | - | NPPES |
| 003112987D | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 0101286220 (Virginia) | Secondary |
| 207R00000X | Internal Medicine | 25IA12524000 (New Jersey) | Secondary |
| 207R00000X | Internal Medicine | 04-50270 (Kansas) | Secondary |
| 207R00000X | Internal Medicine | 2025052488 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 003457 (Georgia) | Secondary |
| 208M00000X | Hospitalist | 066574 (Georgia) | Primary |
| 207R00000X | Internal Medicine | D0102042 (Maryland) | Secondary |
| 207R00000X | Internal Medicine | ME172056 (Florida) | Secondary |
| 207R00000X | Internal Medicine | 44688 (Oklahoma) | Secondary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
|---|
| Kindred At Home | Marietta, GA | Home health agency |
| Visiting Nurse Health System | Atlanta, GA | Home health agency |
| Guardian Home Care, Llc | Roswell, GA | Home health agency |
| Central Home Health Care, An Amedisys Company | Tucker, GA | Home health agency |
| Central Hh Care, An Amedisys Company | Atlanta, GA | Home health agency |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Memorial University Medical Center | Savannah, GA | Hospital |
| Brightmoor Health Care, Inc | Griffin, GA | Nursing home |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ennoble Hc Dmv Llc | 9032517925 | 100 |
| Mobile Medical Ii Llc | 4284175589 | 11 |
| Piedmont Hospitalist Physicians Llc | 1951299163 | 497 |
| Ennoble Hc Nj Pc | 0345638185 | 108 |
| Ennoble Hc Dmv Llc | 9032517925 | 100 |
| Ennoble Hc Dmv Llc | 9032517925 | 100 |
| Select Rehabilitation, Llc | 9032020490 | 2089 |
| Healthy Ever After Inc | 2769620715 | 2 |
| Ennoble Hc Nj Pc | 0345638185 | 108 |
| Ennoble Hc Nj Pc | 0345638185 | 108 |
| Ennoble Hc Dmv Llc | 9032517925 | 100 |
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 Mark Bradshaw 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 Mark Bradshaw, MD
2 University Plz Ste 204,
Hackensack, NJ 07601-6211
Ph: (404) 367-3014 | Dr Mark Bradshaw, MD
50 Glenlake Pkwy Ste 420,
Sandy Springs, GA 30328-3489
Ph: (551) 295-8223 |
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