JOHN EDWARD BRADFORD PA-C
NPI 1720004740
Physician Assistant in Anchorage, AK

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
701 TUDOR DR, STE 110, ANCHORAGE, AK 99503(907) 685-1420 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2023, Jul 21, 2022, Sep 11, 2017 (3 updates tracked since 2017).

About John Edward Bradford Pa-c NPPES

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

JOHN EDWARD BRADFORD PA-C (NPI 1720004740) is an individual physician assistant in Anchorage, Alaska, licensed in Wyoming (PA732) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains a secondary practice location in Ynp.

NPPES Registry Identity

NPI1720004740
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN EDWARD BRADFORDCredential: PA-C
Location Address701 TUDOR DR, STE 110Anchorage, AK 99503
Mailing AddressPo Box 58Yellowstone National Park, WY 82190-0058 · (307) 344-7965
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 14, 2006
Last NPPES UpdateJanuary 4, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
NPI 1720004740 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 WY · PA732 Licensed in MT · 25769 Licensed in AK · PADA1193
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.
701 TUDOR DR, Anchorage, AK 99503

Secondary Practice Location 1

Location 1108 Albright Ave #58YNP, WY 82190 · Phone (307) 344-7965

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

John Edward Bradford 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 ID9234254087
PECOS Enrollment IDI20100916000553
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.

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 John Bradford's NPI number?

The NPI number for John Bradford is 1720004740. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is John Bradford located?

John Bradford practices at 701 Tudor Dr Ste 110, Anchorage, AK 99503. The listed phone number is (907) 685-1420.

What is John Bradford's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Bradford enrolled in Medicare?

Yes. John Bradford 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 John Bradford affiliated with any hospitals?

According to CMS data, John Bradford is affiliated with Billings Clinic.

When was this NPI record last updated?

The NPPES record for John Bradford was last updated on January 4, 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.