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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRADY TEDROW
NPI 1205765450
Physician Assistant in Bellville, OH

Active since May 14, 2026
760 MOCK RD, BELLVILLE, OH 44813(419) 961-5657 Get Directions Write a Review

NPPES record last updated: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2026, May 14, 2026 (2 updates tracked since 2026).

About Brady Tedrow NPPES

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

BRADY TEDROW (NPI 1205765450) is an individual physician assistant in Bellville, Ohio, licensed in Ohio (50.010554RX) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1205765450
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRADY TEDROW
Location Address760 MOCK RDBellville, OH 44813-9414
Mailing Address760 Mock RdBellville, OH 44813-9414
Phone(419) 961-5657
Sole ProprietorNo
Enumeration DateMay 14, 2026
Last NPPES UpdateNovember 4, 20262 updates tracked since enumeration
NPPES CertifiedNovember 4, 2026
✔ NPI 1205765450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.010554RX
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
760 MOCK RD, Bellville, OH 44813
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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 Brady Tedrow's NPI number?

The NPI number for Brady Tedrow is 1205765450. It was assigned to this individual provider in the NPPES registry on May 14, 2026.

Where is Brady Tedrow located?

Brady Tedrow practices at 760 Mock Rd, Bellville, OH 44813. The listed phone number is (419) 961-5657.

What is Brady Tedrow's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Brady Tedrow was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.