Mr Ryan Bradley, PA-C, CAQ-PSY - Medicare Physician Assistant in Eglin, FL

  1. Home
  2. Physician Assistant
  3. FL
  4. Eglin
Mr Ryan Bradley, PA-C, CAQ-PSY is a medicare enrolled "Physician Assistant - Medical" in Eglin, Florida. His current practice location is 4315 El Salvador Way, Eglin, Florida. You can reach out to his office (for appointments etc.) via phone at (575) 386-6585.

Mr Ryan Bradley is licensed to practice in Florida (license number 9118992) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235862012.

Contact Information

Mr Ryan Bradley, PA-C, CAQ-PSY
4315 El Salvador Way,
Eglin, FL 32542-1711
(575) 386-6585
Not Available

Map and Direction




Provider's Profile

Full NameMr Ryan Bradley
GenderMale
SpecialityPhysician Assistant - Medical
Location4315 El Salvador Way, Eglin, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235862012
  • Provider Enumeration Date: 07/07/2022
  • Last Update Date: 10/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4385029958
  • Enrollment ID: I20220917000062

Medical Identifiers

Medical identifiers for Mr Ryan Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235862012NPI-NPPES
B224-972-93-800-0OtherFLSTATE DRIVERS LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 9118992 (Florida)Primary
363A00000XPhysician Assistant 1198847 (Texas)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ryan Bradley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ryan Bradley, PA-C, CAQ-PSY
6600 Van Aalst Blvd,
Fort Moore, GA 31905-2102

Ph: (915) 742-2273		Mr Ryan Bradley, PA-C, CAQ-PSY
4315 El Salvador Way,
Eglin, FL 32542-1711

Ph: (575) 386-6585

Reviews and Comments


Physician Assistant Nurses in Eglin, FL

Mrs. Juliann Sutterfield, MPAS, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 96th Medical Group, 307 Boatner Rd, Eglin, FL 32542
Phone: 850-883-8600    
Ryan Griffith,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 307 Boatner Rd, Bldg 2825 Rm 1b045, Eglin, FL 32542
Phone: 850-883-8448    
Mr. Christopher James Gardner, PA-S, NREMT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 307 Boatner Rd, Eglin, FL 32542
Phone: 850-883-8542    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.