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BRADLEY V WOOD PA
NPI 1336321512
Physician Assistant - Surgical in Ashland, PA

Active since November 29, 2007
93 BROAD ST, ASHLAND, PA 17921(570) 875-0512(570) 875-0534 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley V Wood Pa NPPES

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

BRADLEY V WOOD PA (NPI 1336321512) is an individual surgical provider in Ashland, Pennsylvania, licensed in Pennsylvania (MA000636L) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1336321512
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRADLEY V WOODCredential: PA
Location Address93 BROAD STAshland, PA 17921-2101
Mailing Address93 Broad StAshland, PA 17921-2101 · (570) 875-0512 · Fax (570) 875-0534
Phone(570) 875-0512
Fax(570) 875-0534
Sole ProprietorNo
Enumeration DateNovember 29, 2007
✔ NPI 1336321512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in PA · MA000636L
93 BROAD ST, Ashland, PA 17921
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Other Identifiers 2

Medicare PIN100386VASPA
Medicare UPINR08308PA

Other Providers at the Same Location NPPES 2

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

MR. THOMAS J BURGE CRNA
Anesthesiology
93 BROAD ST
ASHLAND, PA 17921
Schuylkill County (570) 875-0512
ADVENT FOOT AND ANKLE INC
Podiatrist (Foot & Ankle Surgery)
93 BROAD ST
ASHLAND, PA 17921
Schuylkill County (570) 249-1021

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 Wood's NPI number?

The NPI number for Bradley Wood is 1336321512. It was assigned to this individual provider in the NPPES registry on November 29, 2007.

Where is Bradley Wood located?

Bradley Wood practices at 93 Broad St, Ashland, PA 17921. The listed phone number is (570) 875-0512.

What is Bradley Wood's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Bradley Wood was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.