Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TY DAVID BRADFORD, PA-C
ActiveTY DAVID BRADFORD, PA-C is a Physician Assistant healthcare provider located in SALEM, Oregon. NPI 1053075077 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SALEM, OR
Registration Details
- NPI Number
- 1053075077
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2021 (4.8352625219922 yrs)
- Last Updated
- Mar 4, 2025
- Licenses
-
PA60273 (CA)PA207912 (OR)
Practice Information
- Address
-
863 LIBERTY ST NESALEM, OR, 973012451Browse OR providers · Browse ZIP 97301
- Phone
- 8775221275
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SALEM, OR
| Name | Credential | NPI |
|---|---|---|
| MR. CURT CARLTON STILP | PA-C | 1033191630 |
| ANGELA T YOUNG | PA-C | 1578546743 |
| CURTIS R HAWKINSON | PA C | 1619950599 |
| HALIE GOFFRIER | PA-C | 1629023866 |
| ROBIN MICHELLE JEWETT | P.A.-C | 1023057221 |
| DANIEL C BUTLER | PA | 1487693206 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.