Physician Assistant
COLLEEN BRADLEY
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1255995411 · enumerated 2019-04-23 · record updated 2023-02-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2734 BEAVER RUN BLVD UNIT D, SURFSIDE BEACH, SC, 29575-5392 (469) 353-4042 Google Maps Apple Maps OpenStreetMap
- Practice location 2734 BEAVER RUN BLVD UNIT D, SURFSIDE BEACH, SC, 29575-5392 (469) 353-4042 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X
- Physician Assistant 363A00000X · Primary · License 3360 SC
In this directory
Locations and evidence
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Practice location
SURFSIDE BEACH, SC, 295755392
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.