Individual provider · Type 1 NPI

Bradley Maxwell, PA-C

Medical Physician Assistant · Cookeville, TN

NPI number 1912301771 Active

Practice location

1 Medical Center Blvd
Cookeville, TN 38501-4294

Fax (931) 783-2253

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2618 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1912301771

Bradley Maxwell, PA-C's National Provider Identifier is 1912301771, issued on Oct 22, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cookeville, TN. The record was last updated on Oct 22, 2014.