BRADLEY MICHAEL GREGORY PA-C
NPI 1871357681
Physician Assistant - Medical in Montgomery, AL

Active since February 12, 2024PECOS EnrolledAccepts Medicare Assignment
2055 E SOUTH BLVD STE 601, MONTGOMERY, AL 36116(334) 747-2999 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bradley Michael Gregory Pa-c NPPES

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

BRADLEY MICHAEL GREGORY PA-C (NPI 1871357681) is an individual medical provider in Montgomery, Alabama, licensed in Mississippi (PA00781) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Waynesboro, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1871357681
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRADLEY MICHAEL GREGORYCredential: PA-C
Location Address2055 E SOUTH BLVD STE 601Montgomery, AL 36116-2014
Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 12, 2024
Last NPPES UpdateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
NPI 1871357681 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 MS · PA00781
2055 E SOUTH BLVD STE 601, Montgomery, AL 36116

Secondary Practice Location 1

Location 1950 Matthew DrWaynesboro, MS 39367-2590 · Phone (601) 735-5151

Accepted Insurance

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 Michael Gregory 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 ID1658814082
PECOS Enrollment IDI20241113000391
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 5

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

Nurse Practitioner (Acute Care)
2055 E SOUTH BLVD STE 601
MONTGOMERY, AL 36116
Surgery
2055 E SOUTH BLVD STE 601
MONTGOMERY, AL 36116
Nurse Practitioner
2055 E SOUTH BLVD STE 601
MONTGOMERY, AL 36116
Surgery
2055 E SOUTH BLVD STE 601
MONTGOMERY, AL 36116
Physician Assistant
2055 E SOUTH BLVD STE 601
MONTGOMERY, AL 36116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871357681, enumerated as an "individual" on February 12, 2024.

The provider is located at 2055 E SOUTH BLVD STE 601 MONTGOMERY, AL 36116 and the phone number is (334) 747-2999.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.