ELIZABETH BRADLEY (PA-C) – Physician Assistant, NPI 1760115778

ELIZABETH BRADLEY (PA-C) is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA3025 (KY). The NPI Number for ELIZABETH BRADLEY (PA-C) is 1760115778

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH BRADLEY (PA-C)
NPI
1760115778
Phone
(150) 221-2266
Address
4001 KRESGE WAY STE 330
Enumeration Date
7 July 2022
Last Update Date
24 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5022122663208
Graduation Year
2022 (4 years ago)
PAC ID
9133500952
Group Practice PAC ID
3678470556
Professional Enrollment ID
I20230918000719
Address ID
KY402074640LO4001XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for ELIZABETH BRADLEY (PA-C)

  • 4001 KRESGE WAY STE 330

    LOUISVILLE, KY 402074640

    Phone: (150) 221-2266

    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)

CMS reports 4 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2023-08-23 • Largest payer in this snapshot: ACUMED LLC ($46).

Total Amount

$106

General + Research + Ownership

Payments

4

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-23

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220725002395IPhysician AssistantKYTBD
I20230918000719IPhysician AssistantINTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,408178$0
20610Aspiration and/or injection of fluid from large joint331167$0
99214Established patient office or other outpatient visit, 30-39 minutes297199$0
J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose14686$0
99213Established patient office or other outpatient visit, 20-29 minutes139118$0
View full utilization report →

Insurance plans in this area (ZIP 40207)

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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: 3678470556View full group profile
NameSpecialtyState
-KY
Orthopedic SurgeryKY

Reviews

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Frequently asked questions

Can I use this page to confirm ELIZABETH BRADLEY (PA-C)'s NPI?
Yes. ELIZABETH BRADLEY (PA-C) is listed with NPI 1760115778 in the public NPI dataset.
Can I rely on ELIZABETH BRADLEY (PA-C) being an active provider?
As of the registry snapshot, ELIZABETH BRADLEY (PA-C) is marked active.
What is ELIZABETH BRADLEY (PA-C)'s primary classification?
Physician Assistant is the headline specialty for ELIZABETH BRADLEY (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect ELIZABETH BRADLEY (PA-C) on a map?
Expect Louisville, Kentucky as a primary anchor for ELIZABETH BRADLEY (PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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