1. Home
  2. Directory
  3. Minnesota
  4. Roseville
  5. Physician Assistant
  6. NPI Profile

BRIAN BRADWAY PA-C
NPI 1992241095
Physician Assistant - Medical in Roseville, MN

Active since January 12, 2017PECOS Enrolled
1835 COUNTY ROAD C W STE 150, ROSEVILLE, MN 55113(763) 581-0340(763) 581-0341 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2018, Feb 5, 2017, Jan 12, 2017 (3 updates tracked since 2017).

About Brian Bradway Pa-c NPPES

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

BRIAN BRADWAY PA-C (NPI 1992241095) is an individual medical provider in Roseville, Minnesota, licensed in Minnesota (12332) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992241095
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRIAN BRADWAYCredential: PA-C
Location Address1835 COUNTY ROAD C W STE 150Roseville, MN 55113
Mailing Address1835 County Road C W Ste 150Roseville, MN 55113-1343 · (763) 581-0340 · Fax (763) 581-0341
Phone(763) 581-0340
Fax(763) 581-0341
Sole ProprietorNo
Enumeration DateJanuary 12, 2017
Last NPPES UpdateJuly 23, 20183 updates tracked since enumeration
✔ NPI 1992241095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MN · 12332
Also ListedPhysician AssistantTaxonomy 363A00000X · License 12332 (MN)
1835 COUNTY ROAD C W STE 150, Roseville, MN 55113
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Bradway Pa-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.

JEFF O BOHLMAN PA
Physician Assistant
1835 COUNTY ROAD C W STE 150
ROSEVILLE, MN 55113
Ramsey County (651) 430-3800
MR. ERIC SAGE SALMAN P.A.C
Physician Assistant
1835 COUNTY ROAD C W STE 150
ROSEVILLE, MN 55113
Ramsey County (651) 430-3800
DR. GLENN ROBIN BUTTERMANN M.D.
Orthopaedic Surgery
1835 COUNTY ROAD C W STE 150
ROSEVILLE, MN 55113
Ramsey County (651) 430-3800
MR. PHILLIP CHARLES STEWART P.A.-C
Physician Assistant
1835 COUNTY ROAD C W STE 150
ROSEVILLE, MN 55113
Ramsey County (651) 430-3800

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 Brian Bradway's NPI number?

The NPI number for Brian Bradway is 1992241095. It was assigned to this individual provider in the NPPES registry on January 12, 2017.

Where is Brian Bradway located?

Brian Bradway practices at 1835 County Road C W Ste 150, Roseville, MN 55113. The listed phone number is (763) 581-0340.

What is Brian Bradway's specialty?

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

Is Brian Bradway enrolled in Medicare?

Yes. Brian Bradway is registered in the Medicare PECOS enrollment system.

What insurance does Brian Bradway accept?

Health plans from HealthPartners and Medica list Brian Bradway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Bradway was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.