MR. RYAN BRADLEY PA-C, CAQ-PSY
NPI 1235862012
Physician Assistant - Medical in Eglin, FL
About Mr. Ryan Bradley Pa-c, Caq-psy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RYAN BRADLEY PA-C, CAQ-PSY (NPI 1235862012) is an individual medical provider in Eglin, Florida, licensed in Florida (9118992) and active in the NPI registry since July 2022. He maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EGLIN AFB, FL 32542
EGLIN AFB, FL 32542
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 Ryan Bradley's NPI number?
The NPI number for Ryan Bradley is 1235862012. It was assigned to this individual provider in the NPPES registry on July 7, 2022.
Where is Ryan Bradley located?
Ryan Bradley practices at 4315 El Salvador Way, Eglin, FL 32542. The listed phone number is (575) 386-6585.
What is Ryan Bradley's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
What insurance does Ryan Bradley accept?
Health plans from Blue Cross and Blue Shield of Texas list Ryan Bradley 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.
When was this NPI record last updated?
The NPPES record for Ryan Bradley was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Mr. Ryan Bradley, PA-C, CAQ-PSY · NPI 1235862012
Medical physician in Eglin, Florida. Individual provider, active in the CMS NPPES registry since July 7, 2022.
## Identity
- **NPI:** 1235862012 (Entity type: Individual)
- **Enumerated:** July 7, 2022
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 9118992 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4315 EL SALVADOR WAY, Eglin, FL 32542-1711
- **Phone:** (575) 386-6585
## Record status
- **NPPES last updated:** October 4, 2024
- **Other identifiers:** Other B224-972-93-800-0 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1235862012) · Data from the CMS NPPES public registry.