BRADLEY ALLEN LOVAN (PA-C) – Physician Assistant, NPI 1477178820

BRADLEY ALLEN LOVAN (PA-C) is a healthcare provider. based in Minneapolis, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 14366 (MN). The NPI Number for BRADLEY ALLEN LOVAN (PA-C) is 1477178820

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY ALLEN LOVAN (PA-C)
NPI
1477178820
Phone
(612) 871-7278
Address
913 E 26th St Ste 305
Enumeration Date
11 June 2020
Last Update Date
1 April 2024

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3206825225
Graduation Year
2020 (6 years ago)
PAC ID
8729401021
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20231024003510
Address ID
MN553021109AN440XXEXXX400
Telehealth
Yes

Contacts

Secure Messaging
bstaten647269@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for BRADLEY ALLEN LOVAN (PA-C)

  • 913 E 26th St Ste 305

    Minneapolis, MN 554044515

    Phone: (612) 871-7278

    Type: Location

  • 1025 MAINE ST

    QUINCY, IL 623014038

    Phone: (217) 222-6550

    Type: Mailing

  • 2525 CHICAGO AVE

    MINNEAPOLIS, MN 554044518

    Phone: (612) 813-6000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-10-24

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
I20200706000039IPhysician AssistantILTBD
I20231024003510IPhysician AssistantMNTBD

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.

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

Insurance plans in this area (ZIP 55404)

Loading plans...

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: 4587573613View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for BRADLEY ALLEN LOVAN (PA-C)?
The registry entry for BRADLEY ALLEN LOVAN (PA-C) shows NPI 1477178820.
Is BRADLEY ALLEN LOVAN (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists BRADLEY ALLEN LOVAN (PA-C) as active.
What services align with BRADLEY ALLEN LOVAN (PA-C)'s listing?
BRADLEY ALLEN LOVAN (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit BRADLEY ALLEN LOVAN (PA-C) in Minneapolis, Minnesota?
For routing, start with Minneapolis, Minnesota for BRADLEY ALLEN LOVAN (PA-C), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

KELLY FIDER (PA-C)

Physician Assistant
Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States of America
NPI: 1598768434

DEBORAH R OSGOOD (PA-C)

Neurology Physician
Chicago Av, East Franklin Avenue, Phillips, Minneapolis, Hennepin County, Minnesota, 55404, United States
NPI: 1881698801

LISA A HOWE (PA)

Physician Assistant
8170 33RD AVE S # MS 21110Q
NPI: 1326044850

PHILIP A WEBER (PA)

Physician Assistant
920, East 28th Street, Midtown Phillips, Phillips, Minneapolis, Hennepin County, Minnesota, 55407, United States
NPI: 1124029475
420 DELAWARE ST SE
NPI: 1942202593
4725 36TH AVE N
NPI: 1154315133
1389, Clippership Alcove, Lake Villa Estates, Woodbury, Washington County, Minnesota, 55125, United States
NPI: 1689668303

LESLEY ERIN TABER (PA-C)

Medical Physician Assistant
351, Greenbriar Road, Merry Wives of Greenbriar, Glendover, Lexington, Fayette County, Kentucky, 40503, United States
NPI: 1154315752

ELIZABETH FELL LOKEN (PAC)

Physician Assistant
33rd Avenue South, Keewaydin, Nokomis, Minneapolis, Hennepin County, Minnesota, 55417, United States
NPI: 1124012638