Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992765168 Individual Practitioner Male Practitioner

Jonathan James Bradshaw , PA-C

Physician Assistant - Surgical • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Jonathan Bradshaw, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Jacksonville, FL. Practice services are available at 4500 SAN PABLO RD S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000
Associated Practice Facility / Clinic
🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.1 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
56 Specialists

Practicing in Jacksonville, FL (1463 Statewide)

Telehealth Adoption Rate
8.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License FL PA 9103821

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
292826400 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 11, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2009

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍
Updated Business Mailing Address March 11, 2009

Registered at 745 CHESTWOOD CHASE DR, ORANGE PARK, FL 320652580 (Tel: 9042146561)

👤
Provider Name / Credentials Updated March 11, 2009

Recorded as JONATHAN BRADSHAW, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2009

Physician Assistant (License #PA 9103821 in FL)

🟢
Initial NPI Registration & Enumeration March 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992765168
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2006
Last Update: March 11, 2009
Sole Proprietor: No

Mailing Address

745 Chestwood Chase Dr

Orange Park, FL 320652580

Phone: 9042146561

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.