Alfred A. Bradley, PA-C
Physician Assistant in Red Bank, NJ. Individual provider (NPI-1).
NPI number1760412886
StatusActive
Last updated in NPPESAug 22, 2019
Details
- NPI
- 1760412886
- Entity type
- Individual (NPI-1)
- Name
- Alfred A. Bradley
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2006
- Last updated
- Aug 22, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | MP00156 | NJ | Yes |
Practice location
1 Riverview PlzRed Bank, NJ 07701-1864
Phone 732-530-2204 · Fax 732-224-7498
Mailing address
307 S Evergreen AveWoodbury, NJ 08096-2739
Phone 856-686-4300
Other practice locations
2317 Center Island Route 22
Union, NJ 07083
Union, NJ 07083
Phone 201-354-1951
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 32 Physician Assistant providers in Red Bank · All 1,651 providers in Red Bank
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