BRAD LYN HARTWIG PA-C
NPI 1477597524
Physician Assistant in Machesney Park, IL

Active since June 16, 2006
11475 N 2ND ST, MACHESNEY PARK, IL 61115(815) 654-8000 Get Directions Write a Review

NPPES record last updated: January 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brad Lyn Hartwig Pa-c NPPES

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

BRAD LYN HARTWIG PA-C (NPI 1477597524) is an individual physician assistant in Machesney Park, Illinois, licensed in Wisconsin (1167) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1477597524
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRAD LYN HARTWIGCredential: PA-C
Location Address11475 N 2ND STMachesney Park, IL 61115-1285
Mailing Address1394 Kiwanis Dr Apt B302Freeport, IL 61032-6940 · (815) 821-4777
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJanuary 16, 2008
NPI 1477597524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in WI · 1167 Licensed in IL · 085-002982
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.
11475 N 2ND ST, Machesney Park, IL 61115

Other Identifiers 3

Medicare ID-Type Unspecified0052 05080WI
Medicare UPINP01217
Medicaid42988500WI

Other Providers at the Same Location NPPES 9

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

Family Medicine
11475 N 2ND ST
MACHESNEY PARK, IL 61115
Family Medicine
11475 N 2ND ST
MACHESNEY PARK, IL 61115
Physician Assistant
11475 N 2ND ST
MACHESNEY PARK, IL 61115
Family Medicine
11475 N 2ND ST
MACHESNEY PARK, IL 61115
Family Medicine
11475 N 2ND ST
MACHESNEY PARK, IL 61115
Family Medicine
11475 N 2ND ST
MACHESNEY PARK, IL 61115
Obstetrics & Gynecology
11475 N 2ND ST
MACHESNEY PARK, IL 61115
Physician Assistant (Medical)
11475 N 2ND ST
MACHESNEY PARK, IL 61115

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 Brad Hartwig's NPI number?

The NPI number for Brad Hartwig is 1477597524. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Brad Hartwig located?

Brad Hartwig practices at 11475 N 2nd St, Machesney Park, IL 61115. The listed phone number is (815) 654-8000.

What is Brad Hartwig'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 Brad Hartwig was last updated on January 16, 2008. 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.