John Andrew Bradshaw, MD
John Andrew Bradshaw is a Pediatrics Physician provider (Pediatrics) practicing in Ithaca, NY, registered in the NPPES registry with NPI 1124000518 since 2005. The credential MD stands for Doctor of Medicine. Practices at Northeast Pediatrics & Adolescent Medicine, LLP (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124000518 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | John Andrew Bradshaw |
| Credential | MD |
| Sex | Male |
| Practice address | 10 GRAHAM RD W, Ithaca, NY, 14850 |
| Phone | 6072572188 |
| Fax | 6072667341 |
| Enumeration date | 2005-11-19 |
| Last updated in NPPES | 2012-09-21 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | 216716 | NY |
| 2080P0208X | Pediatric Infectious Diseases Physician | Secondary | 216716 | NY |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10867 | Other | NY | TOTALCARE/MANAGED MA |
| 000136319 | Other | — | BLUE SHIELD/HMO/EXCELLUS |
| 02223650 | Medicaid | NY | — |
| 00920290002 | Other | — | HEALTH NOW |
| V018315 | Other | — | TRICARE |
| 161010811 | Other | — | RMSCO |
| 161010811 | Other | — | COMMERCIAL CARRIERS |
Copy-ready billing details
Provider: John Bradshaw, MD NPI: 1124000518 Taxonomy: 208000000X (Pediatrics Physician) Address: 10 GRAHAM RD W, Ithaca, NY, 14850
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619959582 | Jeffrey Snedeker | Individual | Pediatric Infectious Diseases Physician | Ithaca, NY |
| 1508848409 | Marguerite Uphoff | Individual | Pediatrics Physician | Ithaca, NY |
| 1356323133 | Audrey Desilva | Individual | Pediatrics Physician | Ithaca, NY |
| 1245212968 | Jennifer Whittaker | Individual | Family Nurse Practitioner | Ithaca, NY |
| 1316929110 | Andrea Torrado | Individual | Pediatrics Physician | Ithaca, NY |
| 1760464325 | Patricia Mattingly | Individual | Pediatric Nurse Practitioner | Ithaca, NY |
| 1548242159 | Rajaram Rao | Individual | Pediatrics Physician | Ithaca, NY |
| 1184724189 | Northeast Pediatrics & Adolescent Medicine, LLP | Organization | Pediatrics Physician | Ithaca, NY |
Verify this record
Cross-check NPI 1124000518 against the authoritative CMS record: view John Andrew Bradshaw on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What specialty is John Bradshaw?
Is this the official NPI registry?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-09-21.