Shenan Bradshaw DDS MD PA
NPI 1114710472 · Oral & Maxillofacial Surgery (D.M.D.) · Greensboro, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shenan Bradshaw DDS MD PA is a Oral & Maxillofacial Surgery (D.M.D.) organization in Greensboro, NC (NPI 1114710472).
Provider details
- NPI number
- 1114710472
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Parent organization
- Shenan Bradshaw DDS MD PA
- Organization subpart
- Yes
- Authorized official
- Allison Jarrell, Practice Leader(336) 273-1000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
100% of core fields populated
- Practice footprint23% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Piedmont Oral and Maxillofacial Surgery
Additional practice locations (1)
- 3493 Forestdale Dr Ste 102Burlington, NC 27215-8246Phone: (336) 417-5933
Registry dates
- Enumerated
- 2025-05-28
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Frequently asked questions
- What is Shenan Bradshaw DDS MD PA's NPI number?
- Shenan Bradshaw DDS MD PA's National Provider Identifier (NPI) is 1114710472, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shenan Bradshaw DDS MD PA?
- Shenan Bradshaw DDS MD PA is classified in the NPPES registry as Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Shenan Bradshaw DDS MD PA located?
- Shenan Bradshaw DDS MD PA's practice location on file with NPPES is 2105 Braxton Ln Ste 102, Greensboro, NC 27408-2863.
- What is Shenan Bradshaw DDS MD PA's phone number?
- The practice phone number listed in the NPPES registry for Shenan Bradshaw DDS MD PA is (336) 273-1000.
- Does Shenan Bradshaw DDS MD PA accept Medicare?
- Shenan Bradshaw DDS MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shenan Bradshaw DDS MD PA?
- The authorized official listed on Shenan Bradshaw DDS MD PA's NPPES record is Allison Jarrell, Practice Leader. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shenan Bradshaw DDS MD PA's NPI active?
- Yes — Shenan Bradshaw DDS MD PA's NPI (1114710472) is active in the NPPES registry as of the last update on 2025-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.