Individual provider · Type 1 NPI

Bradley Walters, PAC

Physician Assistant · Albuquerque, NM

NPI number 1386077196 Active

Practice location

610 Broadway Blvd NE
Albuquerque, NM 87102-2372

Call (505) 225-2500 Map

Fax (505) 225-2025

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2013-0052 (NM)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1386077196

Bradley Walters, PAC's National Provider Identifier is 1386077196, issued on Aug 15, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Albuquerque, NM. The record was last updated on Nov 4, 2025.