BRADFORD A PALMER (PHYSICIAN ASSISTANT) – Surgical Physician Assistant, NPI 1114178191

BRADFORD A PALMER (PHYSICIAN ASSISTANT) is a healthcare provider. based in Albany, New York. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 012728 (NY). The NPI Number for BRADFORD A PALMER (PHYSICIAN ASSISTANT) is 1114178191

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
BRADFORD A PALMER (PHYSICIAN ASSISTANT)
NPI
1114178191
Phone
(518) 262-1333
Address
47 NEW SCOTLAND AVE
Enumeration Date
8 October 2008
Last Update Date
4 September 2012

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
5182892171
Graduation Year
2008 (18 years ago)
PAC ID
0345305439
Group Practice PAC ID
3779496393
Professional Enrollment ID
I20090225000096
Address ID
NY120205004MA4XXXXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

13,244 PHYSICIAN ASSISTANT in NY

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Provider Addresses for BRADFORD A PALMER (PHYSICIAN ASSISTANT)

  • 47, New Scotland Avenue, University Heights, Albany, Albany County, New York, 12208, United States

    ALBANY, NY 12208

    Phone: (518) 262-1333

    Type: Mailing

  • 1367, Washington Avenue, Albany, Albany County, New York, 12222, United States

    ALBANY, NY 12206

    Phone: (518) 489-2666

    Type: Location

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 $400.

Total Amount is formed as General ($400) + Research ($0) + Ownership ($0) = $400.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: SpringWorks Therapeutics, Inc. ($245).

Total Amount

$400

General + Research + Ownership

Payments

4

Total payment records

General Amount

$400

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

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: 2009-02-25

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
I20090225000096IPhysician AssistantNYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2119$0
View full utilization report →

Insurance plans in this area (ZIP 12208)

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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: 3779496393View full group profile
NameSpecialtyState
Hand SurgeryNY
Physician AssistantNY
Orthopedic SurgeryNY
Nurse PractitionerNY
-NY
-NY
Orthopedic SurgeryNY
Physician AssistantNY
Orthopedic SurgeryMN
Orthopedic SurgeryMI

Reviews

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Frequently asked questions

How do payers reference BRADFORD A PALMER (PHYSICIAN ASSISTANT)?
For BRADFORD A PALMER (PHYSICIAN ASSISTANT), use NPI 1114178191 as the unique 10-digit identifier.
Would BRADFORD A PALMER (PHYSICIAN ASSISTANT) appear as active to a payer?
You can treat BRADFORD A PALMER (PHYSICIAN ASSISTANT) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe BRADFORD A PALMER (PHYSICIAN ASSISTANT)'s focus?
For BRADFORD A PALMER (PHYSICIAN ASSISTANT), the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BRADFORD A PALMER (PHYSICIAN ASSISTANT) associated with Albany?
Public fields place BRADFORD A PALMER (PHYSICIAN ASSISTANT) around Albany, New York. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for BRADFORD A PALMER (PHYSICIAN ASSISTANT) is noted as October 8, 2008 where the registry provides it.

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