BRADLEY DAVIS JACK KLEINERT PA-C
NPI 1629772231
Physician Assistant - Medical in Plantation, FL

Active since March 28, 2023PECOS EnrolledAccepts Medicare Assignment
8200 W SUNRISE BLVD BLDG C, PLANTATION, FL 33322(954) 370-8585 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Davis Jack Kleinert Pa-c NPPES

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

BRADLEY DAVIS JACK KLEINERT PA-C (NPI 1629772231) is an individual medical provider in Plantation, Florida, licensed in Florida (9117215) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Westside Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629772231
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRADLEY DAVIS JACK KLEINERTCredential: PA-C
Location Address8200 W SUNRISE BLVD BLDG CPlantation, FL 33322-5426
Mailing Address1591 Nw 102nd WayCoral Springs, FL 33071-3916
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
NPI 1629772231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · 9117215
8200 W SUNRISE BLVD BLDG C, Plantation, FL 33322

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bradley Davis Jack Kleinert Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789049230
PECOS Enrollment IDI20230505000605
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Westside Regional Medical Center

Acute Care Hospitals · Plantation, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100228
Location8201 W Broward BlvdPlantation, FL 33324 · Broward County

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Adult Health)
8200 W SUNRISE BLVD BLDG C
PLANTATION, FL 33322
Nurse Practitioner (Adult Health)
8200 W SUNRISE BLVD BLDG C
PLANTATION, FL 33322
Nurse Practitioner (Family)
8200 W SUNRISE BLVD BLDG C
PLANTATION, FL 33322
Physician Assistant
8200 W SUNRISE BLVD BLDG C
PLANTATION, FL 33322
Internal Medicine (Hematology & Oncology)
8200 W SUNRISE BLVD BLDG C
PLANTATION, FL 33322
Internal Medicine (Hematology & Oncology)
8200 W SUNRISE BLVD BLDG C
PLANTATION, FL 33322
Internal Medicine (Hematology & Oncology)
8200 W SUNRISE BLVD BLDG C
PLANTATION, FL 33322
Internal Medicine (Hematology & Oncology)
8200 W SUNRISE BLVD BLDG C
PLANTATION, FL 33322

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 Kleinert's NPI number?

The NPI number for Bradley Kleinert is 1629772231. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Bradley Kleinert located?

Bradley Kleinert practices at 8200 W Sunrise Blvd Bldg C, Plantation, FL 33322. The listed phone number is (954) 370-8585.

What is Bradley Kleinert's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Bradley Kleinert enrolled in Medicare?

Yes. Bradley Kleinert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Bradley Kleinert affiliated with any hospitals?

According to CMS data, Bradley Kleinert is affiliated with Westside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Bradley Kleinert was last updated on March 28, 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.