Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

John Andrew Bradshaw, MD

Pediatrics Physician in Ithaca, NY · enumerated 2005 · practices at Northeast Pediatrics & Adolescent Medicine, LLP.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124000518

Verified

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Registry record

Entity type Individual (Type 1)

Name John Andrew Bradshaw

Credential MD

Sex Male

Practice address 10 Graham Rd W, Ithaca, NY, 14850

Phone (607) 257-2188

Fax (607) 266-7341

Enumeration date Nov 19, 2005

Last updated in NPPES Sep 21, 2012

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 216716 (NY) Primary

2080P0208X Pediatric Infectious Diseases Physician Allopathic & Osteopathic Physicians · License 216716 (NY) Secondary

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

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.

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Frequently asked questions

What specialty is John Bradshaw?

John Bradshaw is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-09-21.