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COLLEEN BRADLEY
NPI 1255995411
Physician Assistant in Surfside Beach, SC

Active since April 23, 2019PECOS Enrolled
2734 BEAVER RUN BLVD UNIT D, SURFSIDE BEACH, SC 29575(469) 353-4042 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2023, Jan 28, 2020, Apr 23, 2019 (3 updates tracked since 2019).

About Colleen Bradley NPPES

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

COLLEEN BRADLEY (NPI 1255995411) is an individual physician assistant in Surfside Beach, South Carolina, licensed in South Carolina (3360) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255995411
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOLLEEN BRADLEY
Location Address2734 BEAVER RUN BLVD UNIT DSurfside Beach, SC 29575-5392
Mailing Address2734 Beaver Run Blvd Unit DSurfside Beach, SC 29575-5392 · (469) 353-4042
Phone(469) 353-4042
Sole ProprietorYes
Enumeration DateApril 23, 2019
Last NPPES UpdateFebruary 6, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
✔ NPI 1255995411 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 SC · 3360
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.
2734 BEAVER RUN BLVD UNIT D, Surfside Beach, SC 29575
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen Bradley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29575 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

COASTAL CAROLINA BEHAVIORAL HEALTH, INC.
Psychiatry & Neurology (Psychiatry)
2734 BEAVER RUN BLVD UNIT D
SURFSIDE BEACH, SC 29575
Horry County (843) 650-1085
MS. STEPHANIE HELBECK CORNFIELD MSW
Social Worker (Clinical)
2734 BEAVER RUN BLVD UNIT D
MYRTLE BEACH, SC 29575
Horry County (843) 650-1085
COASTAL CAROLINA BEHAVIORAL HEALTH, INC.
Psychiatry & Neurology (Psychiatry)
2734 BEAVER RUN BLVD UNIT D
SURFSIDE BEACH, SC 29575
Horry County (843) 650-1085
MS. LENA MARGARET TINDALL APRN
Nurse Practitioner (Psychiatric/Mental Health)
2734 BEAVER RUN BLVD UNIT D
MYRTLE BEACH, SC 29575
Horry County (843) 650-1085

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 Colleen Bradley's NPI number?

The NPI number for Colleen Bradley is 1255995411. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Colleen Bradley located?

Colleen Bradley practices at 2734 Beaver Run Blvd Unit D, Surfside Beach, SC 29575. The listed phone number is (469) 353-4042.

What is Colleen Bradley's specialty?

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

Is Colleen Bradley enrolled in Medicare?

Yes. Colleen Bradley is registered in the Medicare PECOS enrollment system.

What insurance does Colleen Bradley accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Colleen 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 Colleen Bradley was last updated on February 6, 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.