1. Home
  2. Directory
  3. Washington
  4. Prosser
  5. Physician Assistant
  6. NPI Profile

STEPHEN BRADLEY PA
NPI 1134222011
Physician Assistant - Medical in Prosser, WA

Active since September 06, 2006
740 MEMORIAL ST, PROSSER, WA 99350(509) 786-1931(509) 786-1997 Get Directions Write a Review

NPPES record last updated: April 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephen Bradley Pa NPPES

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

STEPHEN BRADLEY PA (NPI 1134222011) is an individual medical provider in Prosser, Washington, licensed in Washington (PA10000296) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1134222011
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSTEPHEN BRADLEYCredential: PA
Location Address740 MEMORIAL STProsser, WA 99350-1525
Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-6175
Phone(509) 786-1931
Fax(509) 786-1997
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateApril 18, 2008
✔ NPI 1134222011 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 WA · PA10000296
740 MEMORIAL ST, Prosser, WA 99350
Open in Google Maps ↗

Other Identifiers 8

Other1306897681Npi Prosser Memorial
Other142805WA · L & I
Medicare ID-Type UnspecifiedGAB24073
Other6972Group Health
Other4750BRWA · Regence
Medicare UPINR89176
Other8296097WA · Chpw
Medicaid8296097WA

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 Stephen Bradley's NPI number?

The NPI number for Stephen Bradley is 1134222011. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Stephen Bradley located?

Stephen Bradley practices at 740 Memorial St, Prosser, WA 99350. The listed phone number is (509) 786-1931.

What is Stephen Bradley's specialty?

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

When was this NPI record last updated?

The NPPES record for Stephen Bradley was last updated on April 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.