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

Dr. Charles Shannon Bradford Jr., MD

Individual provider Internal Medicine Physician · NPI 1811215643

Dr. Charles Shannon Bradford Jr., MD is an Internal Medicine in Atlanta, Georgia. Qualified in 2010, 16 years ago. Practices with Laureate Medical Group at Northside, LLC, a 74-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Georgia.

Years since qualifying
16
Licensed in
FL, GA
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1110 W Peachtree St NW Ste 1100
Atlanta, GA 30309-3609
Phone: (404) 892-2131
Fax: (404) 215-9222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 — (678) 604-1000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 070347 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME123871 (FL)
Hospitalist Physician Taxonomy 208M00000X · Licence 070347 (GA)

Record details

NPI number1811215643
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2010
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Laureate Medical Group At Northside, Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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