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

Dr. Mark Bradshaw, MD

Individual provider Internal Medicine Physician · NPI 1316107428

Dr. Mark Bradshaw, MD is an Internal Medicine in Sandy Springs, Georgia. Graduated from Morehouse School of Medicine in 2008, 18 years ago. Practices with Ennoble Hc Dmv LLC, a 111-clinician group and works from 8 locations. Licensed in Florida, Georgia, Kansas and Maryland and 4 more.

Years since qualifying
18
Trained at
Morehouse School of Medicine
Licensed in
FL, GA, KS, MD, MO, NJ
In the registry since
2008
Specialties on file
9
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

50 Glenlake Pkwy Ste 420
Sandy Springs, GA 30328-3489
Phone: (551) 295-8223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 345 N Riverview St Ste 412, Wichita, KS 67203-4202 — (551) 295-8223
  • 801 E Douglas Ave Fl 2nd, Wichita, KS 67202-3515 — (551) 295-8223
  • 345 N Riverview St Ste 412, Wichita, KS 67203-4202 — (551) 295-8223
  • 3209 S Broadway Ste 229, Edmond, OK 73013-4064 — (551) 295-8223
  • 101 W Hefner Rd Fl 2nd, Oklahoma City, OK 73114-6631 — (551) 295-8223
  • 101 Greenwood Ave Ste 140, Jenkintown, PA 19046-2649 — (973) 241-1356
  • 20130 Lakeview Center Plz Ste 400, Ashburn, VA 20147-5905 — (703) 865-2144

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 066574 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0101286220 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 25IA12524000 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 04-50270 (KS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2025052488 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 003457 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence D0102042 (MD)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME172056 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 44688 (OK)

Record details

NPI number1316107428
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2008
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026
Mailing address2 University Plz Ste 204, Hackensack, NJ 07601-6211

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Ennoble Hc Dmv Llc — 111 clinicians
Accepts Medicare assignment Not indicated
Practice locations12 on file with Medicare

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