Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

WADE J BRAVO PA
NPI 1023085255
Physician Assistant in Patrick Afb, FL

Active since March 07, 2006
1381 S PATRICK DRIVE, 45TH MEDICAL GROUP, PATRICK AFB, FL 32925(321) 494-8159(321) 494-1378 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wade J Bravo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WADE J BRAVO PA (NPI 1023085255) is an individual physician assistant in Patrick Afb, Florida, licensed in Florida (PA2830) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1023085255
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWADE J BRAVOCredential: PA
Location Address1381 S PATRICK DRIVE, 45TH MEDICAL GROUPPatrick Afb, FL 32925
Mailing Address1381 S Patrick Drive, 45th Medical GroupPatrick Afb, FL 32925 · (321) 494-8159 · Fax (321) 494-1378
Fax(321) 494-1378
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1023085255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA2830
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1381 S PATRICK DRIVE, Patrick Afb, FL 32925

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1381 S PATRICK DRIVE, 45TH MEDICAL GROUP
PATRICK AFB, FL 32925

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023085255, enumerated as an "individual" on March 07, 2006.

The provider is located at 1381 S PATRICK DRIVE 45TH MEDICAL GROUP PATRICK AFB, FL 32925 and the phone number is (321) 494-8159.

Physician Assistant with taxonomy code 363A00000X.