Individual provider · Type 1 NPI
Jeffrey Logan Bradley, PA
Surgical Physician Assistant · Fairfield, OH
NPI number
1487449609
Active
Practice location
903 Doris Jane Ave
Fairfield, OH 45014-2716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 50.010299RX (OH) |
Surgical Physician Assistant: Definition to come...
About NPI 1487449609
Jeffrey Logan Bradley, PA's National Provider Identifier is 1487449609, issued on Apr 9, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fairfield, OH. The record was last updated on Sep 3, 2026.