Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Charles Jeremy Bradshaw, MPASPA-C

Individual provider Physician Assistant · NPI 1043477672

Mr. Charles Jeremy Bradshaw, MPASPA-C is a Physician Assistant in Virginia Beach, Virginia. Graduated from University of Nebraska College of Medicine in 2007, 19 years ago. Practices with Bethesda Chevy Chase Orthopaedic Associates, LLC, a 135-clinician group and accepts Medicare assignment. Licensed in Georgia and Virginia.

Years since qualifying
19
Trained at
University of Nebraska College of Medicine
Licensed in
GA, VA
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

5716 Cleveland St Ste 200
Virginia Beach, VA 23462-1784
Phone: (757) 490-4802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110003574 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 1081007 (GA)

Record details

NPI number1043477672
Entity typeIndividual (Type 1)
GenderMale
Credentials MPASPA-C
Sole proprietorNo
NPI enumeratedMay 21, 2008
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Bethesda Chevy Chase Orthopaedic Associates, Llc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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