Individual provider Active NPI

David Bradshaw

  • Acute Care Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1225867070
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11034343 Issued in FL
Practice address
3750 San Jose PL Ste 34
Jacksonville, FL 32257-8861
Phone
(904) 902-8981
Fax
(904) 906-1237
NPI assigned
Jul 30, 2024
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11034343 FL Primary

Addresses

Primary practice location

3750 San Jose PL Ste 34
Jacksonville, FL 32257-8861

Mailing address

2782 Lantana Lakes Dr W
Jacksonville, FL 32246-4621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241215000003 FL Practitioner - Nurse Practitioner 9436685344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murthy Holdings Inc.Group PAC ID 3779972542, 9 clinicians

Practice addresses (Care Compare)

15496 Max Leggett Pkwy
Jacksonville, FL 32218-2564
Phone (904) 895-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11034343FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Murthy Holdings Inc. CurrentSince Nov 6, 2024 Accepting new patients
Well & You ASC, LLC PastSince Aug 1, 2024 Accepting new patients

Locations

4565 US Highway 17
Ste 240
Fleming Island, FL 32003
Phone (904) 895-5400

11513 N Main St
Jacksonville, FL 32218
Phone (904) 751-6200

15492 Max Leggett Pkwy
Ste 5
Jacksonville, FL 32218
Phone (904) 893-4464

15496 Max Leggett Pkwy
Jacksonville, FL 32218
Phone 9048955400 ext. 55400

1730 Kingsley Ave
Ste C
Orange Park, FL 32073
Phone (904) 895-5400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJHCDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1225867070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2782 LANTANA LAKES DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 SAN JOSE PL STE 34",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578861",
            "telephone_number": "904-902-8981",
            "fax_number": "904-906-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-30",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11034343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.