Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RYAN BRADLEY, PA-C, CAQ-PSY
ActiveMR. RYAN BRADLEY, PA-C, CAQ-PSY is a Medical Physician Assistant healthcare provider located in EGLIN, Florida. NPI 1235862012 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · EGLIN, FL
Registration Details
- NPI Number
- 1235862012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2022 (4.10436238896 yrs)
- Last Updated
- Oct 4, 2024
- Licenses
-
9118992 (FL)1198847 (TX)
Practice Information
- Address
-
4315 EL SALVADOR WAYEGLIN, FL, 325421711Browse FL providers · Browse ZIP 32542
- Phone
- 5753866585
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
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.