JACE BRADSHAW
NPI 1235717943
Student in an Organized Health Care Education/Training Program in Baltimore, MD
NPI Status: Active since April 01, 2021
Contact Information
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD
ZIP 21287
Phone: (410) 955-5000
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About JACE BRADSHAW
This page provides the complete NPI Profile along with additional information for Jace Bradshaw, a primary care provider established in Baltimore, Maryland with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1235717943 assigned on April 2021. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1235717943
- Provider Name
- JACE BRADSHAW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287
- Location Phone
- (410) 955-5000
- Mailing Address
- 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-01-2021
- Last Update Date
- 04-01-2021
- Code Navigator
A primary care provider (PCP) like Jace Bradshaw sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Jace Bradshaw is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for JACE BRADSHAW
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 7 | 1 | 7 | 9 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 14 | 1 | 14 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 4 + 1 + 1 + 4 + 9 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1235717943 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831488196 | POONAM PATEL M.D. Individual | Emergency Medicine | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 955-3380 |
| 1821485822 | DR. JONATHAN ANDREW CLARE MD Individual | Emergency Medicine | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 955-5107 |
| 1619539673 | HAYDON MARSHALL LUTZ MD Individual | Student in an Organized Health Care Education/Training Program | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 955-3380 |
| 1174171268 | STEPHEN D GRAGG PHD Individual | Student in an Organized Health Care Education/Training Program | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 955-5107 |
| 1720615057 | GEOFFREY GAO Individual | Student in an Organized Health Care Education/Training Program | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 955-3380 |
| 1811524903 | DR. LAKSHMI RAJANIKANT KIRKIRE MD Individual | Student in an Organized Health Care Education/Training Program | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (240) 751-2240 |
| 1639783350 | DANIEL AYORINDE Individual | Student in an Organized Health Care Education/Training Program | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 955-5107 |
| 1710374996 | THEODORE FAGRELIUS MD Individual | Emergency Medicine | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 955-5107 |
| 1942887252 | DR. BLAKE DUFFY MD Individual | Student in an Organized Health Care Education/Training Program | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 955-3380 |
| 1952988552 | NELSON MALONE MPH Individual | Student in an Organized Health Care Education/Training Program | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (804) 496-8322 |
| 1558948745 | KARA ANNE SCHRADLE Individual | Student in an Organized Health Care Education/Training Program | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 409-7991 |
| 1568040236 | KAYLA IULIUCCI Individual | Student in an Organized Health Care Education/Training Program | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (609) 922-0108 |
| 1902484504 | DR. JASMIN GOSEN MD Individual | Student in an Organized Health Care Education/Training Program | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (818) 268-9742 |
| 1417452129 | AARON STERN MD Individual | Emergency Medicine | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 955-3380 |
| 1508361304 | KYLE JONES MD Individual | Emergency Medicine | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 955-3380 |
| 1326465303 | KEVIN CHUNG Individual | Emergency Medicine | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 955-5107 |
| 1003565235 | DOROTHY YIM Individual | Student in an Organized Health Care Education/Training Program | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 955-5107 |
| 1053051706 | BLISS ROGERS Individual | Student in an Organized Health Care Education/Training Program | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 808-3890 |
| 1114544111 | EMILY NAGOURNEY Individual | Student in an Organized Health Care Education/Training Program | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 955-5107 |
| 1336889708 | JOSEPHINE LO BELLO Individual | Student in an Organized Health Care Education/Training Program | 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 (410) 955-5107 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235717943, enumerated in the NPI registry as an "individual" on April 01, 2021
The provider is located at 1830 E Monument St Ste 6-100 Baltimore, Md 21287 and the phone number is (410) 955-5000
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 01, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.