DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN EDWARD BRADFORD, PA-C

Active Sole Proprietor

Physician Assistant · ANCHORAGE, AK

Registration Details

NPI Number
1720004740
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2006 (19.783773188706 yrs)
Last Updated
Jan 4, 2023
Licenses
25769 (MT)
PADA1193 (AK)
PA732 (WY)
Sole Proprietor
Yes

Practice Information

Address
701 TUDOR DR
STE 110
ANCHORAGE, AK, 99503
Browse AK providers · Browse ZIP 99503
Phone
9076851420
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in ANCHORAGE, AK

Name Credential NPI
TERRI ALTHEA BERNDT PA-C 1568458222
OLEGARIO CARRILLO PA-C 1417946039
CARLENE KAY BODEN P.A. 1235128349
MR. TIMOTHY G HARRELSON JR. PA 1952391559
MR. DAN RAYMOND CALDERON PA-C 1639153109
TIMOTHY A MORGAN PA C 1578540159
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.