Individual provider · Type 1 NPI

Nicole Bradway

Physician Assistant · Royal Oak, MI

NPI number 1639698236 Active

Practice location

30575 Woodward Ave
Royal Oak, MI 48073-0980

Call (248) 280-8550 Map

Fax (844) 266-0093

Mailing address

PO Box 18998
Belfast, ME 04915-4084

Other practice locations

  • 3901 Beaubien St Ste 1, Detroit, MI 48201-2119 · (313) 745-5227
  • 45816 Schoenherr Rd, Shelby Township, MI 48315-6028 · (586) 842-2400

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Physician Assistant Primary 363A00000X5601010351 (MI)

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 1639698236

Nicole Bradway's National Provider Identifier is 1639698236, issued on Sep 14, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Royal Oak, MI. The record was last updated on May 19, 2026.