Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLAS BRADLEY, PA-C
ActivePhysician Assistant · WASILLA, AK
Registration Details
- NPI Number
- 1992027940
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 18, 2010 (16.183947979536 yrs)
- Last Updated
- May 11, 2022
- License
-
PADA1173 (AK)
Practice Information
- Address
-
1301 W PARKS HWY STE 101WASILLA, AK, 996546939Browse AK providers · Browse ZIP 99654
- Phone
- 0735777819
- Fax
- 9077456573
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WASILLA, AK
| Name | Credential | NPI |
|---|---|---|
| MS. VIRGINIA CAROL COOPER | PA-C | 1255333738 |
| JASON WAYNE COLLINS | PA | 1871530022 |
| JASEN RUSSELL THOMPSON | PA-C | 1033226998 |
| MR. STEPHEN MATTHEW SHORTRIDGE | PAC | 1700994118 |
| DONALD EDWARD SMITH | PA-C | 1477621597 |
| BRUCE A BASSITY | PA | 1265599674 |
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.