Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN BRADWAY, PA-C
ActiveBRIAN BRADWAY, PA-C is a Medical Physician Assistant healthcare provider located in ROSEVILLE, Minnesota. NPI 1992241095 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · ROSEVILLE, MN
Registration Details
- NPI Number
- 1992241095
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2017 (9.5587564558385 yrs)
- Last Updated
- Jul 23, 2018
- Licenses
-
12332 (MN)12332 (MN)
Practice Information
- Address
-
1835 COUNTY ROAD C W STE 150ROSEVILLE, MN, 55113Browse MN providers · Browse ZIP 55113
- Phone
- 7635810340
- Fax
- 7635810341
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in ROSEVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| KELSEY L HOLMES | PAC | 1477950475 |
| CHLOE FERRAR | — | 1366899437 |
| KATELYN M LANGLIE | PA-C | 1336615921 |
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.