BRADLEY J. III BEATTIE (PA-C) – Physician Assistant, NPI 1841286622

BRADLEY J. III BEATTIE (PA-C) is a healthcare provider. based in Knoxville, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 001135 (IA). The NPI Number for BRADLEY J. III BEATTIE (PA-C) is 1841286622

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY J. III BEATTIE (PA-C)
NPI
1841286622
Phone
(641) 828-3832
Address
1208 N LINCOLN ST
Enumeration Date
27 September 2005
Last Update Date
4 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6419445813
Graduation Year
1996 (30 years ago)
PAC ID
2264413384
Group Practice PAC ID
9931005873
Professional Enrollment ID
I20040525001707
Address ID
IA500447711BU411XXSTXX300

Contacts

Secure Messaging
prhc@direct.pellahealthkobledirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,649 PHYSICIAN ASSISTANT in IA

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Provider Addresses for BRADLEY J. III BEATTIE (PA-C)

  • 1208, North Lincoln Street, Knoxville, Knoxville Township, Marion County, Iowa, 50138, United States

    KNOXVILLE, IA 501383421

    Phone: (641) 828-3832

    Fax: (641) 828-3820

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040525001707IPhysician AssistantIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3632$0
99214Established patient office or other outpatient visit, 30-39 minutes3321$0
View full utilization report →

Insurance plans in this area (ZIP 50138)

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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: 9931005873View full group profile
NameSpecialtyState
-IA
-IN
Internal Medicine, Pulmonary Disease, Sleep MedicineIA
Pulmonary DiseaseIA
Family Practice, Obstetrics/GynecologyIA
-IA
Physical Therapist In Private PracticeIA
Diagnostic RadiologyIA
-IA
-IA

Reviews

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Frequently asked questions

What is BRADLEY J. III BEATTIE (PA-C)'s NPI number?
BRADLEY J. III BEATTIE (PA-C)'s NPI is 1841286622 — the number used across U.S. healthcare to identify this provider.
Is there an active status for BRADLEY J. III BEATTIE (PA-C)?
For scheduling context, BRADLEY J. III BEATTIE (PA-C) is shown as active in the registry.
How would a patient describe BRADLEY J. III BEATTIE (PA-C)'s focus?
For BRADLEY J. III BEATTIE (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BRADLEY J. III BEATTIE (PA-C) located near Knoxville?
BRADLEY J. III BEATTIE (PA-C) currently maps to Knoxville, Iowa in this extract.
When was this NPI issued?
Enumeration for BRADLEY J. III BEATTIE (PA-C) is noted as September 27, 2005 where the registry provides it.

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