Active NPI
Amanda Jade Bradshaw, CPNP
- Pediatrics Physician
- Birmingham, AL
National Provider Identifier
1447774559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 1-137704
- Practice address
- 1600 20TH St S
Birmingham, AL 35205-4998 - Phone
- (205) 212-5600
- NPI assigned
- Jul 31, 2017
- Last updated
- Apr 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1-137704 | AL | Primary |
Addresses
Primary practice location
1600 20TH St S
Birmingham, AL 35205-4998
Mailing address
414 Cambrian Ridge TRL
Pelham, AL 35124-4832
Phone (706) 888-2839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-137704 | AL | MD | Pediatrics Physician |
Interoperability endpoints
- jadebradshaw@cmg-al.direct.office.nextgen.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1447774559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 CAMBRIAN RIDGE TRL",
"city": "PELHAM",
"state": "AL",
"postal_code": "351244832",
"telephone_number": "706-888-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 20TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352054998",
"telephone_number": "205-212-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADSHAW",
"first_name": "AMANDA",
"middle_name": "JADE",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-31",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "1-137704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.