NICOLAS BRADLEY PA-C
NPI 1992027940
Physician Assistant in Wasilla, AK

Q: What is Nicolas Bradley's NPI number?

The NPI number for Nicolas Bradley is 1992027940. It was assigned to this individual provider in the NPPES registry on February 18, 2010.

Q: What is Nicolas Bradley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicolas Bradley was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 18, 2010

1301 W PARKS HWY STE 101, WASILLA, AK 99654(073) 577-7819(907) 745-6573 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2022, Oct 5, 2020, Sep 23, 2020 and 1 more (4 updates tracked since 2019).

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About Nicolas Bradley Pa-c NPPES

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

NICOLAS BRADLEY PA-C (NPI 1992027940) is an individual physician assistant in Wasilla, Alaska, licensed in Alaska (PADA1173) and active in the NPI registry since February 2010. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1992027940

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameNICOLAS BRADLEYCredential: PA-C

Location Address1301 W PARKS HWY STE 101Wasilla, AK 99654-6939

Mailing Address1301 W Parks Hwy Ste 101Wasilla, AK 99654-6939 · (073) 577-7819 · Fax (907) 745-6573

Phone(073) 577-7819

Fax(907) 745-6573

Sole ProprietorNo

Enumeration DateFebruary 18, 2010

Last NPPES UpdateMay 11, 20224 updates tracked since enumeration

NPPES CertifiedMay 11, 2022

✔ NPI 1992027940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AK · PADA1173

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.

1301 W PARKS HWY STE 101, Wasilla, AK 99654

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Secondary Practice Locations 4

Location 11717 W Cowles StFairbanks, AK 99701-5926 · Phone (907) 451-6682

Location 21389 Huffman Rd, #150Anchorage, AK 99515 · Phone (888) 227-3312

Location 3950 E Bogard Rd Ste 103Wasilla, AK 99654-7184 · Phone (907) 352-2880 · Fax (907) 352-2885

Location 4Bldg 786 D StJBER, AK 99506 · Phone (907) 384-0605

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

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.

INTEGRATED WELLNESS & CENTER FOR BIRTH, LLC

Clinic/Center (Multi-Specialty)