NPI
Colleen Bradley
NPI 1255995411
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2019-04-23
- Last updated
- 2023-02-06
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Specialties
Licenses
- License SC
- 3360
Location
- Practice location
- 2734 Beaver Run Blvd Unit D
- City
- Surfside Beach SC
- Postal code
- 29575-5392
- Phone
- (469) 353-4042
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Physician Assistants in Surfside Beach, SC. 5 with this primary taxonomy in the public file.
Other NPIs in Surfside Beach, SC. 209 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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