Physician Assistant
NICOLE BRADWAY
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 Plan acceptance stays unpublished until the practice reports it.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 1639698236 · enumerated 2017-09-14 · record updated 2026-05-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: NICOLE SHELLY
Addresses and phones
- Mailing address PO BOX 18998, BELFAST, ME, 04915-4084 (469) 803-3000 Google Maps Apple Maps OpenStreetMap
- Practice location 30575 WOODWARD AVE, ROYAL OAK, MI, 48073-0980 (248) 280-8550 Fax (844) 266-0093 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X
- Physician Assistant 363A00000X · Primary · License 5601010351 MI
In this directory
Locations and evidence
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Practice location
ROYAL OAK, MI, 480730980
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.