Active NPI
Charles Jeremy Bradshaw, MPAS PA-C
- Physician Assistant
- Virginia Beach, VA
National Provider Identifier
1043477672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110003574
- Practice address
- 5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784 - Phone
- (757) 490-4802
- NPI assigned
- May 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1081007 | GA | |
| Physician Assistant | 363A00000X | 0110003574 | VA | Primary |
Addresses
Primary practice location
5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784
Mailing address
5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784
Phone (757) 490-4802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VAD000 | Other | TRICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbradshaw17462@direct.orthovirginia.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131002000558 | VA | Practitioner - Physician Assistant | 5395979462 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5716 Cleveland St
Suite 200
Virginia Beach, VA 23462-1784
Phone (757) 490-4802
Hospital & facility affiliations
- Bon Secours Maryview Medical Center
- Sentara Princess Anne Hospital
- Sentara Virginia Beach General Hospital
- Sentara Obici Hospital
- Sentara Leigh Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.85 of 100
- Quality
- 90.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1081007 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Chevy Chase Orthopaedic Associates, LLC | Current | Accepting new patients | |
| Bethesda Chevy Chase Orthopaedic Associates, LLC | Current | Accepting new patients | |
| Orthovirginia, Inc | Current | Accepting new patients | |
| Orthovirginia, Inc. | Physician Assistant | Current | Accepting new patients |
Locations
8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595
1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242
1849 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 422-8476
5716 Cleveland St
Ste 200
Virginia Beach, VA 23462
Phone (757) 502-8583
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Bethesda, MD
- NPI 1477583599
VA
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Durable Medical Equipment & Medical Supplies
- Bethesda, MD
- NPI 1851759898
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1043477672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5716 CLEVELAND ST STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621784",
"telephone_number": "757-490-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5716 CLEVELAND ST STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621784",
"telephone_number": "757-490-4802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHAW",
"first_name": "CHARLES",
"middle_name": "JEREMY",
"name_prefix": "Mr.",
"credential": "MPAS PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "1081007",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110003574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "VAD000",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbradshaw17462@direct.orthovirginia.com",
"affiliation": "N",
"endpointDescription": "Charles Bradshaw direct address",
"address_1": "1849 Old Donation Pkwy",
"city": "Virginia Beach",
"state": "VA",
"country_code": "US",
"postal_code": "234543004",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.