BRADLEY BLISS PAC
NPI 1114014180
Physician Assistant - Medical in Wellston, MI

Active since October 09, 2006PECOS EnrolledAccepts Medicare Assignment
14477 CABERFAE HWY, WELLSTON, MI 49689(231) 848-4777 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Bliss Pac NPPES

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

BRADLEY BLISS PAC (NPI 1114014180) is an individual medical provider in Wellston, Michigan, licensed in Michigan (5601007455) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Manistee Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1114014180
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRADLEY BLISSCredential: PAC
Location Address14477 CABERFAE HWYWellston, MI 49689-9315
Mailing Address14477 Caberfae HwyWellston, MI 49689-9315 · (231) 848-4777
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateOctober 9, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1114014180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601007455
14477 CABERFAE HWY, Wellston, MI 49689

Other Identifiers 1

Other5601001299MI · Michigan Pac License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bradley Bliss Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789632373
PECOS Enrollment IDI20050628000927
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Munson Healthcare Manistee Hospital

Acute Care Hospitals · Manistee, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230303
Location1465 E Parkdale AveManistee, MI 49660 · Manistee County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$20.06 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers30 claims30 services$7.19 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims17 services$42.79 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers40 claims40 services$110.22 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers15 claims15 services$25.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Rural Health)
14477 CABERFAE HWY
WELLSTON, MI 49689
Physician Assistant
14477 CABERFAE HWY
WELLSTON, MI 49689
Clinic/Center (Rural Health)
14477 CABERFAE HWY
WELLSTON, MI 49689

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Bliss's NPI number?

The NPI number for Bradley Bliss is 1114014180. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Bradley Bliss located?

Bradley Bliss practices at 14477 Caberfae Hwy, Wellston, MI 49689. The listed phone number is (231) 848-4777.

What is Bradley Bliss's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Bradley Bliss enrolled in Medicare?

Yes. Bradley Bliss is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bradley Bliss accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Bradley Bliss as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bradley Bliss affiliated with any hospitals?

According to CMS data, Bradley Bliss is affiliated with Munson Healthcare Manistee Hospital.

When was this NPI record last updated?

The NPPES record for Bradley Bliss was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.