Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Braden Roark, PA-C

Individual provider Physician Assistant · NPI 1710767025

Braden Roark, PA-C is a Physician Assistant in Rock Hill, South Carolina. Qualified in 2023, 3 years ago. Practices with Piedmont Physician Network LLC, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

197 Piedmont Blvd Ste 100
Rock Hill, SC 29732-1825
Phone: (803) 324-1950
Fax: (803) 324-1933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 171 Ashley Ave, Charleston, SC 29425-8908 — (843) 792-1414

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5048 (SC)
Surgery Physician Taxonomy 208600000X · Licence 5048 (SC)

Record details

NPI number1710767025
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2023
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Piedmont Physician Network Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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