NICOLAS BRADLEY (PA-C) – Physician Assistant, NPI 1992027940

NICOLAS BRADLEY (PA-C) is a healthcare provider. based in Wasilla, Alaska. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PADA1173 (AK). The NPI Number for NICOLAS BRADLEY (PA-C) is 1992027940

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
NICOLAS BRADLEY (PA-C)
NPI
1992027940
Phone
(073) 577-7819
Address
1301 W PARKS HWY STE 101
Enumeration Date
18 February 2010
Last Update Date
11 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8882273312
Graduation Year
2010 (16 years ago)
PAC ID
0143512640
Group Practice PAC ID
2163855032
Professional Enrollment ID
I20181108001135

Contacts

Secure Messaging
nicolas.bradley.2@2839.direct.athenahealth.com
Secure Messaging
nbradley1159304@ak.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

Provider Addresses for NICOLAS BRADLEY (PA-C)

  • 1301 W PARKS HWY STE 101

    WASILLA, AK 996546939

    Phone: (073) 577-7819

    Fax: (907) 745-6573

    Type: Location

  • 1717 W Cowles St

    Fairbanks, AK 997015926

    Phone: (907) 451-6682

    Type: Location

  • 1389 Huffman Rd

    #150

    Anchorage, AK 99515

    Phone: (888) 227-3312

    Type: Location

  • Bldg 786 D St

    JBER, AK 99506

    Phone: (907) 384-0605

    Type: Location

  • 950 E Bogard Rd Ste 103

    Wasilla, AK 996547184

    Phone: (907) 352-2880

    Fax: (907) 352-2885

    Type: Location

  • East Bogard Road, Wasilla, Matanuska-Susitna, Alaska, 99654, United States

    WASILLA, AK 996547184

    Phone: (907) 352-2880

    Fax: (907) 352-2885

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Cranial Technologies, Inc ($103).

Total Amount

$160

General + Research + Ownership

Payments

11

Total payment records

General Amount

$160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99654)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163855032View full group profile

Reviews

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Frequently asked questions

Is NICOLAS BRADLEY (PA-C) listed with a National Provider Identifier?
Yes — NICOLAS BRADLEY (PA-C) has NPI 1992027940 on file in the registry.
Is there an active status for NICOLAS BRADLEY (PA-C)?
For scheduling context, NICOLAS BRADLEY (PA-C) is shown as active in the registry.
What expertise is attributed to NICOLAS BRADLEY (PA-C)?
NICOLAS BRADLEY (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Alaska is NICOLAS BRADLEY (PA-C) registered?
Use Wasilla, Alaska as the headline location for NICOLAS BRADLEY (PA-C) here.
Can I trust this NPI listing for NICOLAS BRADLEY (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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