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

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: August 09, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.