MR. ROBERT LEE BRADFORD P.A.-C
NPI 1669509196
Physician Assistant - Medical in Thomasville, GA

Q: What is Robert Bradford's NPI number?

The NPI number for Robert Bradford is 1669509196. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Q: What is Robert Bradford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Robert Bradford was last updated on July 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since February 28, 2007PECOS Enrolled

508 GORDON AVE, THOMASVILLE, GA 31792(229) 226-0125(229) 226-0195 Get Directions Write a Review

NPPES record last updated: July 9, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mr. Robert Lee Bradford P.a.-c NPPES

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

MR. ROBERT LEE BRADFORD P.A.-C (NPI 1669509196) is an individual medical provider in Thomasville, Georgia, licensed in Georgia (002033) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669509196

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. ROBERT LEE BRADFORDCredential: P.A.-C

Location Address508 GORDON AVEThomasville, GA 31792-6646

Mailing Address508 Gordon AveThomasville, GA 31792-6646 · (229) 226-0125 · Fax (229) 226-0195

Phone(229) 226-0125

Fax(229) 226-0195

Sole ProprietorNo

Enumeration DateFebruary 28, 2007

Last NPPES UpdateJuly 9, 2013

✔ NPI 1669509196 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

Licenses✔ Licensed in GA · 002033✔ Licensed in FL · PA2799

508 GORDON AVE, Thomasville, GA 31792

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Other Identifiers 1

Medicaid100001321AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Robert Lee Bradford P.a.-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Bradford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Joseph H. Berger, MD, LLC

0.1 mi

Otolaryngology/Facial Plastic Surgery

305 W HANSELL ST
Thomasville, GA 31792

Physician assistant employed and billed by this organization, Georgia enrollment
3 clinicians in this Medicare group

NPI 1649468463 (229) 228-6355

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DANIEL & YOKLEY, PC

Physician Assistant (Medical)

508 GORDON AVE
THOMASVILLE, GA 31792

Thomas County (229) 226-0125

MRS. LAURA SHORES RRT

Specialist

508 GORDON AVE
THOMASVILLE, GA 31792

Thomas County (229) 551-0089

MRS. JENNIFER LYNN DELARBER P.A.C.

Physician Assistant

508 GORDON AVE
THOMASVILLE, GA 31792

Thomas County (229) 226-0125

HOMETOWN HOMECARE LLC

Durable Medical Equipment & Medical Supplies

508 GORDON AVE
THOMASVILLE, GA 31792

Thomas County (229) 551-0089

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 Robert Bradford's NPI number?

The NPI number for Robert Bradford is 1669509196. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Robert Bradford located?

Robert Bradford practices at 508 Gordon Ave, Thomasville, GA 31792. The listed phone number is (229) 226-0125.

What is Robert Bradford's specialty?

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

Is Robert Bradford enrolled in Medicare?

Yes. Robert Bradford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Bradford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Bradford is a physician assistant employed by Joseph H. Berger, MD, LLC (Thomasville, GA), which bills Medicare and receives payment for Robert Bradford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Bradford was last updated on July 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.