National Provider Identifier Database

NICOLE BRADWAY
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

NICOLE BRADWAY
30575 WOODWARD AVE
ROYAL OAK, MI48073-0980
Phone: 248-280-8550
Fax: 844-266-0093
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for NICOLE BRADWAY

NPI Number 1639698236
Credentials
Entity Individual
Enumeration date 09/14/2017
Last updated 05/19/2026 - About 3 weeks ago
Sole proprietor1 Yes
Identifiers
  • MI License #: 5601010351
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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