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Mr. Ryan Bradley, PA-C, CAQ-PSY

Medical Physician Assistant in Eglin, FL · enumerated 2022 · practices at 96th Medgrp-Eglin.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235862012

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Registry record

Entity type Individual (Type 1)
Name Mr. Ryan Bradley
Credential PA-C, CAQ-PSY
Sex Male
Practice address 4315 El Salvador Way, Eglin, FL, 32542
Phone (575) 386-6585
Enumeration date Jul 7, 2022
Last updated in NPPES Oct 4, 2024

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 9118992 (FL) Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1198847 (TX) Secondary

Other identifiers

Identifier Type State Issuer
B224-972-93-800-0 Other FL STATE DRIVERS LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ryan Bradley?
The National Provider Identifier (NPI) for Ryan Bradley is 1235862012, a Type 1 (individual) record in the CMS NPPES registry.
Where does Ryan Bradley practice?
The practice location on file with NPPES is in Eglin, FL. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-04.