Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON BRADDOCK, PA-C
Active Sole ProprietorBRANDON BRADDOCK, PA-C is a Physician Assistant healthcare provider located in SAINT AUGUSTINE, Florida. NPI 1336536697 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAINT AUGUSTINE, FL
Registration Details
- NPI Number
- 1336536697
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2015 (11.289616995891 yrs)
- Last Updated
- May 31, 2024
- License
-
PA9108661 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 HEALTH PARK BLVDSUITE 4000SAINT AUGUSTINE, FL, 320863707Browse FL providers · Browse ZIP 32086
- Phone
- 9048248666
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SAINT AUGUSTINE, FL
| Name | Credential | NPI |
|---|---|---|
| DOUGLAS SENECAL | PA | 1184691123 |
| MR. THOMAS DAVID LUKACSA | PA-C | 1760429906 |
| LISA M SALT | PA | 1427105774 |
| MR. MICHAEL STANLEY JECEN | PA | 1407173917 |
| GEORGE PIERCE JONES IV | P.A. | 1912218231 |
| BROOKS MICHAEL WHALEN | PA | 1245506799 |
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.