Individual provider · Type 1 NPI

Trasse D. Bradley, PA-C

Physician Assistant · Jacksonville, FL

NPI number 1770834764 Active

Practice location

1301 Palm Ave Ste 500
Jacksonville, FL 32207-8457

Fax (904) 202-2754

Mailing address

PO Box 746654
Atlanta, GA 30374-6654

Other practice locations

  • 14546 Old Saint Augustine Rd Ste 2307, Jacksonville, FL 32258-5468 · (904) 202-7300

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9106836 (FL)
Surgical Assistant 246ZC0007XPA9106836 (FL)

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 1770834764

Trasse D. Bradley, PA-C's National Provider Identifier is 1770834764, issued on Oct 1, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 20, 2025.