Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles Marshall Bradshaw, MD, PA

Individual provider Specialist · NPI 1104866714

Dr. Charles Marshall Bradshaw, MD, PA is a Specialist in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2941 Oak Park Cir Ste 200
Fort Worth, TX 76109-1852
Phone: (817) 332-7433
Fax: (817) 394-6282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sleep Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0012X · Licence D2367 (TX)
Specialist Taxonomy 174400000X · Licence D2367 (TX)

Record details

NPI number1104866714
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PA
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

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