IndividualActive
Bradley Dispense, PA-C
NPI 1356633218 · Physician Assistant · Jber, AK
Provider details
- NPI number
- 1356633218
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
673d Mdg
5955 Zeamer Avenue
Jber, AK 99506
Phone: (907) 580-2376
Approximate (ZIP-level) locationGet directions
Mailing address
673d Mdg
Jber, AK 99506
Registry dates
- Enumerated
- 2011-05-11
- Last updated
- 2016-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.