IndividualActive
Brian Bradway, PA-C
NPI 1992241095 · Medical Physician Assistant · Roseville, MN
Provider details
- NPI number
- 1992241095
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 12332 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1835 County Road C W Ste 150
Roseville, MN 55113
Phone: (763) 581-0340
Fax: (763) 581-0341
Approximate (ZIP-level) locationGet directions
Mailing address
1835 County Road C W Ste 150
Roseville, MN 55113-1343
Registry dates
- Enumerated
- 2017-01-12
- Last updated
- 2018-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.