Individual provider · Type 1 NPI

Charles Jeremy Bradshaw, MPAS PA-C

Physician Assistant · Virginia Beach, VA

NPI number 1043477672 Active

Practice location

5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784

Call (757) 490-4802 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1081007 (GA)
Physician Assistant Primary 363A00000X0110003574 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1043477672

Charles Jeremy Bradshaw, MPAS PA-C's National Provider Identifier is 1043477672, issued on May 21, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Virginia Beach, VA. The record was last updated on Feb 18, 2026.