JESSICA BRADSHAW PA NPI 1407391055

NPI Information

  • NPI: 1407391055
  • Provider Name: JESSICA BRADSHAW, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6286 BRIARCREST AVE STE 200
    MEMPHIS, TN
    ZIP 38120
  • Phone: (901) 641-3000

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NPI Details

Jessica Bradshaw, PA is a surgical physician assistant in Memphis, TN with 10 years of experience. Jessica Bradshaw, PA NPI is 1407391055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6286 BRIARCREST AVE STE 200
MEMPHIS, TN
ZIP 38120-023
Phone: (901) 641-3000
Fax: (901) 259-1698

The NPI 1407391055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose (HCPCS:J7324)
  • Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose (HCPCS:J7323)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)

The enumeration date for this NPI number is 1/5/2017 and was last updated on 1/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant3221TENNESSEENo
2363AM0700XPhysician AssistantMedical3221TENNESSEENo
3363AS0400XPhysician AssistantSurgical3221TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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