Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY TANNER, PA-C
Active Sole ProprietorBRADLEY TANNER, PA-C is a Physician Assistant healthcare provider located in CASA GRANDE, Arizona. NPI 1588396964 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CASA GRANDE, AZ
Registration Details
- NPI Number
- 1588396964
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2022 (4.1174782238063 yrs)
- Last Updated
- Feb 6, 2026
- License
-
9551 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1637 E MONUMENT PLAZA CIR STE 1CASA GRANDE, AZ, 851225639Browse AZ providers · Browse ZIP 85122
- Phone
- 5204261512
- Fax
- 5205093728
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CASA GRANDE, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. ERIC B WHEELER | PA-C | 1396739504 |
| MR. CRAIG W CONNOR | PA-C | 1215923206 |
| KELLY D CHAVEZ | PA-C | 1356329379 |
| GEORGE J JICHA | PA | 1962474361 |
| SARAH M PRZYBYLA | PA | 1023080082 |
| ROBIN RICHMOND LATTO | P.A. | 1427021740 |
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.