IndividualActiveAccepts Medicare

Sydnee Bradshaw, PA-C

NPI 1093552200 · Surgical Physician Assistant · Orlando, FL

Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1093552200
Entity type: Individual
Primary specialty: Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Surgical Physician AssistantPrimary363AS0400XLicense PA9121338 (FL)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense C09541 (MD)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(59/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
3 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

22 Underwood St Fl 4

Orlando, FL 32806-1110

Phone: (407) 648-5384

Fax: (407) 872-7754

Street-level locationGet directions

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Mailing address