NPI age
16 years
Enumerated 2010-05-04
● Active
Type 1 · Individual
DR. Charles Shannon Bradford JR., M.D.
Bradford is 1 of 1034 internal medicine providers in Atlanta and 1 of 5027 in Georgia.
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-07-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5027 active internal medicine providers in Georgia.
NPI age
16 years
↓ 2 yr below median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-05Enumerated in NPPES
2010
2026
Where they practice
Practice location
1110 W Peachtree St Nw Ste 1100
Atlanta, GA 303093609
Mailing address
1110 W Peachtree St Nw Ste 1100
Atlanta, GA 303093609
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1133 Eagles Landing Pkwy
Stockbridge, GA 302815085
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
-
HospitalistHospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 014816300 | |
| 05 (GA) | 003136131A | |
| 05 (SC) | GA1558 | |
| 01 (FL) | P01476268 | RAILROAD MEDICARE |
| 01 (GA) | P01207903 | RAILROAD MEDICARE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
Recently enumerated nearby: 7 new internal medicine providers have been added in Atlanta in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.